Healthcare Provider Details
I. General information
NPI: 1205348992
Provider Name (Legal Business Name): TAMI VORHIES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/02/2017
Last Update Date: 11/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 E MARKET ST
AKRON OH
44304-1619
US
IV. Provider business mailing address
4535 DRESSLER RD NW
CANTON OH
44718-2545
US
V. Phone/Fax
- Phone: 330-375-3000
- Fax:
- Phone: 800-828-0898
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | LE-00021500 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: