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NPI Code Detail

MEDICARE: MISS TANYA ECKARD STNA

MEDICARE: MISS TANYA ECKARD STNA
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
1376K00000XNurse's Aide401613700214OH

General Provider Information

NPI Number : 1669861316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TANYA ECKARD STNA
Provider Business Mailing Address
First Line : 816 10TH ST NW
Second Line :
City : CANTON
State : OH
Zip : 44703-3306
Country : US
Telephone Number : 330-466-9733
Fax Number :
Provider Business Practice Location Address
First Line : 816 10TH ST NW
Second Line :
City : CANTON
State : OH
Zip : 44703-3306
Country : US
Telephone Number : 330-466-9733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2015
Last Update Date : 01/20/2015

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Directions to “ MISS TANYA ECKARD STNA” Practice Location

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