IndividualActive
Taletha Dixon
NPI 1720489669 · Nursing Home Administrator · Indian Trail, NC
Provider details
- NPI number
- 1720489669
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 376G00000X (NC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
5601 Poplin Rd
Indian Trail, NC 28079-6726
Phone: (704) 882-4295
Fax: (704) 882-4295
Approximate (ZIP-level) locationGet directions
Mailing address
5601 Poplin Rd
Indian Trail, NC 28079-6726
Registry dates
- Enumerated
- 2014-09-10
- Last updated
- 2014-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.