Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 6550 | NE |
N | 1223G0001X | General Practice | 6550 | NE |
N | 213EG0000X | General Practice | 6550 | NE |
NPI | 1558422592 |
---|---|
Provider Name | Dr. Taryn Marie Chesire |
First Address | Omaha, NE 68135-4166 |
Second Address | Omaha, NE 68198-9375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |