Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TASHANNA GILLENWATER, ED.D
ActiveDR. TASHANNA GILLENWATER, ED.D is a Health Educator healthcare provider located in MATTESON, Illinois. NPI 1831885292 is currently active in the NPPES registry. Verify at CMS.
Health Educator · MATTESON, IL
Registration Details
- NPI Number
- 1831885292
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2023 (3.2836943035165 yrs)
- Last Updated
- May 5, 2023
- Licenses
-
3020440 (IL)340416 (IL)340416 (IL)
Practice Information
- Address
-
3818 216TH PLMATTESON, IL, 604432725Browse IL providers · Browse ZIP 60443
- Phone
- 7732690301
- Fax
- 7089642178
- Primary Specialty
-
Health Educator
174H00000X
- Additional Specialty
- Health & Wellness Coach
- Additional Specialty
- Health & Wellness Coach
- Additional Specialty
- Health Educator
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.