Individual provider · Type 1 NPI

Chanceline Tengomoh

Licensed Practical Nurse · Fairfield, OH

NPI number 1114664562 Active

Practice location

4 S Timber Hollow Dr Apt 413
Fairfield, OH 45014-7824

Call (402) 601-4728 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X181030 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114664562

Chanceline Tengomoh's National Provider Identifier is 1114664562, issued on May 17, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fairfield, OH. The record was last updated on May 17, 2022.