Tannis Yatta Richardson in Dayton - Licensed Practical Nurse
Tannis Yatta Richardson - NPI 1023131331
Tannis Yatta Richardson is a Licensed Practical Nurse in Dayton, Ohio. Tannis Yatta Richardson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tannis Yatta Richardson is 1023131331. The last update date is 2007-07-08.
Tannis Yatta Richardson's current location address is 1518 Vancouver Dr, Dayton, Ohio. You can contact this provider via phone number 9372765546. The mailing address for Tannis Yatta Richardson is 1518 Vancouver Dr, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tannis Yatta Richardson |
|---|---|
| Address | 1518 Vancouver Dr, Dayton, Ohio |
| Phone Number | 9372765546 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1023131331 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1518 Vancouver Dr |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454064748 |
| Phone Number | 9372765546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN 114958 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identifier code issued to Tannis Yatta Richardson by the Centers for Medicare & Medicaid Services?
The Tannis Yatta Richardson has been assigned the NPI (National Provider Identifier) 1023131331 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Tannis Yatta Richardson is physically located?
The Tannis Yatta Richardson is situated at the following address: 1518 Vancouver Dr, Dayton, OH 454064748.
What is Tannis Yatta Richardson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tannis Yatta Richardson's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023131331 to Tannis Yatta Richardson?
The Centers for Medicare & Medicaid Services originally issued the 1023131331 to Tannis Yatta Richardson on 2007-04-10.
When was the information pertaining to Tannis Yatta Richardson most recently updated or revised?
The details related to Tannis Yatta Richardson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.