Provider Demographics
NPI:1205125382
Name:TARSNANE, LORRAINE C (RN)
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:C
Last Name:TARSNANE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 SECOND AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1420
Mailing Address - Country:US
Mailing Address - Phone:914-224-7262
Mailing Address - Fax:
Practice Address - Street 1:114 SECOND AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-1420
Practice Address - Country:US
Practice Address - Phone:914-224-7262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY556217163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health