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NPI Code Detail

MEDICARE: MARGARET A. TIKTIN N.P.

MEDICARE: MARGARET A. TIKTIN N.P.
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
1163WG0000XGeneral Practice Registered NurseRN228572OH
2363LA2200XAdult Health Nurse PractitionerNP08804OH

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 : 1790703387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET A. TIKTIN N.P.
Provider Business Mailing Address
First Line : 7550 LUCERNE DR
Second Line : SUITE 405
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-6588
Country : US
Telephone Number : 440-234-8833
Fax Number : 440-234-3313
Provider Business Practice Location Address
First Line : 2500 E 22ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3204
Country : US
Telephone Number : 216-931-1407
Fax Number : 216-931-1414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 05/12/2008

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