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NPI Code Detail

MEDICARE: FAITH ANN TIVER-FORAN

MEDICARE: FAITH ANN TIVER-FORAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner26NJ00518000NJ
2163W00000XRegistered Nurse896973NV
3163W00000XRegistered Nurse26NR13527800NJ
4363LW0102XWomen's Health Nurse Practitioner896973NV
5363L00000XNurse Practitioner896973NV

General Provider Information

NPI Number : 1356740617
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH ANN TIVER-FORAN
Provider Business Mailing Address
First Line : PO BOX 450709
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-0614
Country : US
Telephone Number : 702-330-3102
Fax Number : 702-912-4994
Provider Business Practice Location Address
First Line : 653 N TOWN CENTER DR STE 317
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-0504
Country : US
Telephone Number : 702-997-6737
Fax Number : 702-997-6696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2014
Last Update Date : 06/24/2026

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