MEDICARE: TANYA M NEUMEISTER LPN

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	164W00000X	Licensed Practical Nurse	PN 125271	OH

General Provider Information

NPI Number	:	1902115249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA M NEUMEISTER LPN

Provider Business Mailing Address
First Line	:	9842 BROWER RD
Second Line	:
City	:	NORTH BEND
State	:	OH
Zip	:	45052-9759
Country	:	US
Telephone Number	:	513-376-9054
Fax Number	:

Provider Business Practice Location Address
First Line	:	9842 BROWER RD
Second Line	:
City	:	NORTH BEND
State	:	OH
Zip	:	45052-9759
Country	:	US
Telephone Number	:	513-376-9054
Fax Number	:

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

Provider Enumeration Date	:	10/05/2010
Last Update Date	:	06/20/2011

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