Individual
TARYN MARIE NIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
755 OTTAWA ST, KALIDA, OH 45853-2096
(419) 532-2961
Mailing address
755 OTTAWA ST, KALIDA, OH 45853-2096
(419) 532-2961
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN413605
OH
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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