Provider Demographics
NPI:1700397056
Name:TAHAN, ANN MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:TAHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:SESSO TAHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:4558 SANTINA WAY
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-4400
Mailing Address - Country:US
Mailing Address - Phone:440-244-0971
Mailing Address - Fax:
Practice Address - Street 1:4558 SANTINA WAY
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4400
Practice Address - Country:US
Practice Address - Phone:440-244-0971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225671163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult