Healthcare Provider Details

I. General information

NPI: 1134880222
Provider Name (Legal Business Name): TORI PEYTON REITANO CNM- APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2022
Last Update Date: 01/01/2022
Certification Date: 01/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15651 HOOPER RIDGE RD
MILLFIELD OH
45761-9631
US

IV. Provider business mailing address

15651 HOOPER RIDGE RD
MILLFIELD OH
45761-9631
US

V. Phone/Fax

Practice location:
  • Phone: 740-856-7129
  • Fax:
Mailing address:
  • Phone: 740-856-7129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: