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NPI Code Detail

MEDICARE: TIFFANY MARTIN-THORNTON

MEDICARE: TIFFANY MARTIN-THORNTON
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.19217OH
2363LG0600XGerontology Nurse PractitionerAPRN.CNP.19217OH

General Provider Information

NPI Number : 1902268691
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY MARTIN-THORNTON
Provider Business Mailing Address
First Line : 12395 MCCRACKEN RD
Second Line :
City : GARFIELD HTS
State : OH
Zip : 44125-2967
Country : US
Telephone Number : 216-587-6727
Fax Number :
Provider Business Practice Location Address
First Line : 12395 MCCRACKEN RD
Second Line :
City : GARFIELD HTS
State : OH
Zip : 44125-2967
Country : US
Telephone Number : 216-587-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 05/01/2017

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Directions to “ TIFFANY MARTIN-THORNTON ” Practice Location

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