MEDICARE: TUFF MINDS

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1407665813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUFF MINDS

Provider Business Mailing Address
First Line	:	2750 INDIAN RIPPLE RD STE 364
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45440-3695
Country	:	US
Telephone Number	:	937-520-9662
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 INDIAN RIPPLE RD STE 364
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45440-3695
Country	:	US
Telephone Number	:	937-520-9662
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD TUFF
Credential	:	APRN
Telephone Number	:	937-520-9662

Provider Enumeration Date	:	01/01/2025
Last Update Date	:	01/01/2025

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Directions to “TUFF MINDS ” Practice Location

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