Provider Demographics
NPI:1497333033
Name:NORMAN-WEBLER, TATYANA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:TATYANA
Middle Name:MARIE
Last Name:NORMAN-WEBLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TATYANA
Other - Middle Name:MARIE
Other - Last Name:RAGON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3010 WHIPPLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3027
Mailing Address - Country:US
Mailing Address - Phone:330-477-7269
Mailing Address - Fax:
Practice Address - Street 1:3010 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3027
Practice Address - Country:US
Practice Address - Phone:330-477-7269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH476795163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine