Provider Demographics
NPI:1003019480
Name:TASSONE, NATASHA MARIE-KLEMER (RN)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:MARIE-KLEMER
Last Name:TASSONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 ROPPONEN RD
Mailing Address - Street 2:
Mailing Address - City:ESKO
Mailing Address - State:MN
Mailing Address - Zip Code:55733-9522
Mailing Address - Country:US
Mailing Address - Phone:218-878-0417
Mailing Address - Fax:
Practice Address - Street 1:4239 CANOSIA RD
Practice Address - Street 2:
Practice Address - City:CLOQUET
Practice Address - State:MN
Practice Address - Zip Code:55720-8200
Practice Address - Country:US
Practice Address - Phone:218-729-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 129554-2163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health