Khanthaly Theresa Chanthasene in Reynoldsburg - Registered Nurse

Khanthaly Theresa Chanthasene - NPI 1609084177

Khanthaly Theresa Chanthasene is a Registered Nurse in Reynoldsburg, Ohio. Khanthaly Theresa Chanthasene practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Khanthaly Theresa Chanthasene is 1609084177. The last update date is 2007-07-09.

Khanthaly Theresa Chanthasene's current location address is 8972 Patterson Loop Drive, Reynoldsburg, Ohio. You can contact this provider via phone number 6144030166. The mailing address for Khanthaly Theresa Chanthasene is 8972 Patterson Loop Drive, Reynoldsburg, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Khanthaly Theresa Chanthasene
Address 8972 Patterson Loop Drive, Reynoldsburg, Ohio
Phone Number 6144030166
Fax Number
Sole Proprietor Y
Credentials RN

NPI Number Detail

NPI Number 1609084177
Provider Enumeration Date 2007-05-18
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 8972 Patterson Loop Drive
City Reynoldsburg
State Ohio (OH)
Post Code 43068
Phone Number 6144030166
Fax Number

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No RN322169
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2693394 OH --

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FAQs about Khanthaly Theresa Chanthasene

What is the unique identifier code issued to Khanthaly Theresa Chanthasene by the Centers for Medicare & Medicaid Services?

The Khanthaly Theresa Chanthasene has been assigned the NPI (National Provider Identifier) 1609084177. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Khanthaly Theresa Chanthasene is located?

The Khanthaly Theresa Chanthasene is situated at the following address: 8972 Patterson Loop Drive, Reynoldsburg, OH, 43068.

What is the Khanthaly Theresa Chanthasene's specialty and taxonomy code?

The Khanthaly Theresa Chanthasene's specialty is Registered Nurse, and the corresponding taxonomy code is 163W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1609084177 to Khanthaly Theresa Chanthasene?

The Centers for Medicare & Medicaid Services assigned the 1609084177 to Khanthaly Theresa Chanthasene on 2007-05-18.

When was the information related to Khanthaly Theresa Chanthasene most recently updated or refreshed?

The details pertaining to the Khanthaly Theresa Chanthasene, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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