MEDICARE: MRS. TANYA RENEE VOORHEES S.T.N.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	600910280423	OH

General Provider Information

NPI Number	:	1245183961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TANYA RENEE VOORHEES S.T.N.A

Provider Business Mailing Address
First Line	:	2723 MORTON DR
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-2740
Country	:	US
Telephone Number	:	937-926-4277
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 MORTON DR
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-2740
Country	:	US
Telephone Number	:	937-926-4277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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