Tara Slone, LPN

Individual provider Active NPI Licensed Practical Nurse · Johnstown, OH

NPI 1366792012 · NPPES record last updated Sep 10, 2012

Key facts

NPI
1366792012
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN 129273 IV (OH)
Practice address
323 Kyber Run Cir
Johnstown, OH 43031-9616
Phone
(614) 570-0879
NPI assigned
Sep 10, 2012
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

State licenses

LicenseStateTypeSpecialty
PN 129273 IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 129273 IV OH Yes

Addresses

Primary practice location

323 Kyber Run Cir
Johnstown, OH 43031-9616

Mailing address

323 Kyber Run Cir
Johnstown, OH 43031-9616
Phone (614) 570-0879

Other providers in Johnstown, OH

All providers in Johnstown, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.