Tanya Blough, RN
Individual provider Active NPI Registered Nurse · Ashland, OH
NPI 1174913628 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1174913628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 288199 (OH)
- Practice address
- 1127 County Road 601
Ashland, OH 44805-8906 - Phone
- (330) 466-5572
- NPI assigned
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288199 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 288199 | OH | Yes |
Addresses
Primary practice location
1127 County Road 601
Ashland, OH 44805-8906
Mailing address
1127 County Road 601
Ashland, OH 44805-8906
Phone (330) 466-5572
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.