Ashley Nichole Tenbusch, RN

Individual provider Active NPI Registered Nurse · Sweet Home, OR

NPI 1487902797 · NPPES record last updated Aug 16, 2012

Key facts

NPI
1487902797
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
201242347RN (OR)
Practice address
41574 Shady LN
Sweet Home, OR 97386-9581
Phone
(541) 852-3945
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
201242347RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Surgery Center LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201242347RN OR Yes

Addresses

Primary practice location

41574 Shady LN
Sweet Home, OR 97386-9581

Mailing address

41574 Shady LN
Sweet Home, OR 97386-9581
Phone (541) 852-3945

Other providers in Sweet Home, OR

All providers in Sweet Home, OR · Registered Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.