Provider Demographics
NPI:1912656406
Name:BLACHE, TAHLER RENEE (APRN)
Entity Type:Individual
Prefix:
First Name:TAHLER
Middle Name:RENEE
Last Name:BLACHE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 STONECREEK BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1469
Mailing Address - Country:US
Mailing Address - Phone:513-245-7580
Mailing Address - Fax:844-946-0868
Practice Address - Street 1:3645 STONECREEK BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1469
Practice Address - Country:US
Practice Address - Phone:513-245-7580
Practice Address - Fax:844-946-0868
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0030936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily