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NPI Code Detail

MEDICARE: TIFFANY A LOVE CNP

MEDICARE: TIFFANY A LOVE CNP
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
1163WC3500XCardiac Rehabilitation Registered NurseRN281260OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00358810OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17447787OTHEROHAETNA
2750859OTHEROHBUCKEYE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5000000503618OTHEROHANTHEM
6000000221314OTHEROHUNISON
7363780OTHEROHWELLCARE

General Provider Information

NPI Number : 1003835794
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY A LOVE CNP
Provider Business Mailing Address
First Line : 3605 WARRENSVILLE CENTER RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5203
Country : US
Telephone Number : 216-286-6295
Fax Number : 216-286-6341
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 01/29/2008

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Directions to “ TIFFANY A LOVE CNP” Practice Location

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