MEDICARE: ASHLEY TENOPIR

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	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1538667902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY TENOPIR

Provider Business Mailing Address
First Line	:	4600 LEWIS AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68521-2080
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 LEWIS AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68521-2080
Country	:	US
Telephone Number	:	402-436-1213
Fax Number	:

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

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	01/31/2018

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Directions to “ ASHLEY TENOPIR ” Practice Location

Language	Start Address	Practice Location

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