Tatiana Danielle Allen, BSN, RN

Individual provider Active NPI General Practice Registered Nurse · Orrville, OH

NPI 1275834962 · NPPES record last updated Nov 11, 2010

Key facts

NPI
1275834962
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
354233 (OH)
Practice address
1344 Clay CT
Orrville, OH 44667-9080
Phone
(330) 749-4976
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
354233OHMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 354233 OH Yes

Addresses

Primary practice location

1344 Clay CT
Orrville, OH 44667-9080

Mailing address

1344 Clay CT
Orrville, OH 44667-9080
Phone (330) 749-4976

Other providers in Orrville, OH

All providers in Orrville, OH · General Practice Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.