Aschenbrenner, Tara
Aschenbrenner, Tara is an individual health care provider with primary practice located at 4012 Wiggins Rd Se , Olympia WA 98501-4372. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Aschenbrenner, Tara can be contacted via phone (360) 491-1036.Contact Information
Primary practice address
4012 Wiggins Rd Se
Olympia WA 98501-4372
Phone: (360) 491-1036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LP60649499 | Washington |
Profile Details
| NPI number | 1194278168 |
|---|---|
| LBN Legal business name | Aschenbrenner, Tara |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2016 |
| Last updated | Jul 26th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194278168 | NPPES |
| Washington | MEDICAID | 164W00000X |
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