Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keanu Ben Tohannie, CERTIFIEDMEDICALAS

Individual provider Nurse's Aide · NPI 1639544307

Keanu Ben Tohannie, CERTIFIEDMEDICALAS is a Nurse's Aide in Tuba City, Arizona. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015

Practice location Address checks out

167 N Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2094
Fax: (928) 283-2677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence E8L6X2B3 (TX)

Record details

NPI number1639544307
Entity typeIndividual (Type 1)
GenderMale
Credentials CERTIFIEDMEDICALAS
Sole proprietorNo
NPI enumeratedDecember 7, 2015
Last updated in NPPESJanuary 5, 2016

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