Provider Demographics
NPI:1174823553
Name:TJADEN, TASHIA NICHOLE (NNP, MSN)
Entity Type:Individual
Prefix:MRS
First Name:TASHIA
Middle Name:NICHOLE
Last Name:TJADEN
Suffix:
Gender:F
Credentials:NNP, MSN
Other - Prefix:MS
Other - First Name:TASHIA
Other - Middle Name:NICHOLE
Other - Last Name:SNODGRASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10500 QUIVIRA RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2306
Mailing Address - Country:US
Mailing Address - Phone:913-541-5275
Mailing Address - Fax:913-541-5091
Practice Address - Street 1:10500 QUIVIRA RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2306
Practice Address - Country:US
Practice Address - Phone:913-541-5275
Practice Address - Fax:913-541-5091
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75218363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care