Doctor Name: | MS. TATIANA DANIELLE ALLEN |
NPI Number: | 1275834962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN |
License Number: | 354233 |
Business Practice Address: | 1344 Clay Ct Orrville, OH - 446679080 |
Business Phone Number: | 3307494976 |
Business Fax Number: | |
Mailing Address: | 1344 Clay Ct, ORRVILLE |
State: | OH |
Postal Code: | 446679080 |
Phone Number: | 3307494976 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2010 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 354233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |