Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TACHE EBONY STAR GORTON
Active Sole ProprietorTACHE EBONY STAR GORTON is a Licensed Practical Nurse healthcare provider located in BLOOMINGBURG, New York. NPI 1306518626 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · BLOOMINGBURG, NY
Registration Details
- NPI Number
- 1306518626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2021 (4.8729056802248 yrs)
- Last Updated
- Oct 5, 2021
- License
-
33303701 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 ASPEN DRIVEBLOOMINGBURG, NY, 12721Browse NY providers · Browse ZIP 12721
- Phone
- 8452499646
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in BLOOMINGBURG, NY
| Name | Credential | NPI |
|---|---|---|
| MISS ADONNA RAE KLINE | LPN | 1770709008 |
| MRS. VIRGINIA F MARINO | LPN | 1841431434 |
| DEBORAH ESTEVEZ | — | 1285953547 |
| MRS. VERONICA BRESCIA LUFT | LPN | 1619246550 |
| THERESA DORA RAMOS | L.P.N. | 1033555149 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.