Doctor Name: | MS. NATASHA MARIE-KLEMER TASSONE |
NPI Number: | 1003019480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R 129554-2 |
Business Practice Address: | 4239 Canosia Rd Cloquet, MN - 557208200 |
Business Phone Number: | 2187298846 |
Business Fax Number: | |
Mailing Address: | 126 Ropponen Rd, ESKO |
State: | MN |
Postal Code: | 557339522 |
Phone Number: | 2188780417 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | R 129554-2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |