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NPI Code Detail

MEDICARE: VERONICA TARKENTON APRN

MEDICARE: VERONICA TARKENTON APRN
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.19015OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750714390
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA TARKENTON APRN
Provider Business Mailing Address
First Line : 27610 CAROLINE CIR APT B
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1128
Country : US
Telephone Number : 619-204-8133
Fax Number :
Provider Business Practice Location Address
First Line : 3745 GROVE AVE
Second Line :
City : LORAIN
State : OH
Zip : 44055-2734
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-240-1655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2013
Last Update Date : 11/20/2017

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Directions to “ VERONICA TARKENTON APRN” Practice Location

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