Provider Demographics
NPI:1235878992
Name:RISNER, TASHERY ELIZABETH (LC)
Entity Type:Individual
Prefix:
First Name:TASHERY
Middle Name:ELIZABETH
Last Name:RISNER
Suffix:
Gender:F
Credentials:LC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8923 ASHPACHER RD
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-8426
Mailing Address - Country:US
Mailing Address - Phone:412-995-8399
Mailing Address - Fax:
Practice Address - Street 1:8923 ASHPACHER RD
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-8426
Practice Address - Country:US
Practice Address - Phone:412-995-8399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN