NPI 1093020174

Tina Tannahill, LPN

Practitioner Licensed Practical Nurse Canastota, NY

Practice location

Address: 9170 Old Orchard Rd, Canastota, NY 13032-4446
Phone: (315) 525-7841

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 300892-1 (NY)

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Registry record

NPI: 1093020174
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2010
Record last updated: 31 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.