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CHANCELINE TENGOMOH
NPI 1114664562
Licensed Practical Nurse in Fairfield, OH

Active since May 17, 2022
4 S TIMBER HOLLOW DR APT 413, FAIRFIELD, OH 45014(402) 601-4728 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanceline Tengomoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANCELINE TENGOMOH (NPI 1114664562) is an individual licensed practical nurse in Fairfield, Ohio, licensed in Ohio (181030) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1114664562
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHANCELINE TENGOMOH
Location Address4 S TIMBER HOLLOW DR APT 413Fairfield, OH 45014-7824
Mailing Address4 S Timber Hollow Dr Apt 413Fairfield, OH 45014-7824 · (402) 601-4728
Phone(402) 601-4728
Sole ProprietorYes
Enumeration DateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1114664562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 181030
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4 S TIMBER HOLLOW DR APT 413, Fairfield, OH 45014
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanceline Tengomoh's NPI number?

The NPI number for Chanceline Tengomoh is 1114664562. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Chanceline Tengomoh located?

Chanceline Tengomoh practices at 4 S Timber Hollow Dr Apt 413, Fairfield, OH 45014. The listed phone number is (402) 601-4728.

What is Chanceline Tengomoh's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Chanceline Tengomoh was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.