Tawanya E Brime, LPN
Individual provider Active NPI Licensed Practical Nurse · Whitehall, OH
NPI 1750106126 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1750106126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN129503 (OH)
- Practice address
- 4040 E Broad St
Whitehall, OH 43213-1156 - Phone
- (614) 350-1970
- NPI assigned
- Nov 20, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN129503 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN129503 | OH | Yes |
Addresses
Primary practice location
4040 E Broad St
Whitehall, OH 43213-1156
Mailing address
4040 E Broad St
Whitehall, OH 43213-1156
Other providers in Whitehall, OH
- Elyn Bradley
- Stephanie Brady
- Merv Brereton
- Zion Bridges
- Brightside Medical Supplies Corp
- Felicia Brooks II
- Alicia M Brown
- Briana Brown
- Judith L. Brown
- Larica Y Brown
All providers in Whitehall, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. 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.