Provider Demographics
NPI:1114575917
Name:TASLER, NADINE ANN (RDN LD)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:ANN
Last Name:TASLER
Suffix:
Gender:F
Credentials:RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 WYCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9264
Mailing Address - Country:US
Mailing Address - Phone:419-261-5188
Mailing Address - Fax:419-891-8092
Practice Address - Street 1:5901 MONCLOVA RD
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1899
Practice Address - Country:US
Practice Address - Phone:419-897-8368
Practice Address - Fax:419-891-8092
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty