Provider Demographics
NPI:1174368633
Name:TANON, HERVE ROLAND NOGNING
Entity type:Individual
Prefix:
First Name:HERVE ROLAND
Middle Name:NOGNING
Last Name:TANON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 PINE LEAF CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-3856
Mailing Address - Country:US
Mailing Address - Phone:513-223-1431
Mailing Address - Fax:
Practice Address - Street 1:2839 PINE LEAF CT
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3856
Practice Address - Country:US
Practice Address - Phone:513-223-1431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide