Healthcare Provider Details

I. General information

NPI: 1689916744
Provider Name (Legal Business Name): TINA M GARLAND APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 COOPER RD STE 300
CINCINNATI OH
45242-5636
US

IV. Provider business mailing address

4360 COOPER RD STE 300
CINCINNATI OH
45242-5636
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-7700
  • Fax: 513-246-9125
Mailing address:
  • Phone: 513-891-7700
  • Fax: 513-246-9125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.14162
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA14162-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: