National Provider Identifier

Tanya Spoon, LPN

Tanya Spoon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 450-9828.

NPI 1639455256Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1639455256
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 27, 2011
Last Updated
May 02, 2014

Practice Location

  • 609 Harding Ave
  • Jamestown, NY 14701-4605

Phone: (716) 450-9828

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1639455256
Entity Type
Individual
Last Name
Spoon
First Name
Tanya
Credential
LPN
Mailing Street Address
609 Harding Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-4605
Mailing Country
US
Practice Street Address
609 Harding Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-4605
Practice Country
US
Practice Phone
(716) 450-9828
Enumeration Date
October 27, 2011
Last Updated
May 02, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)