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NPI Code Detail

MEDICARE: TANA ANN WHITT APRN CNP

MEDICARE: TANA ANN WHITT APRN CNP
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
1163W00000XRegistered Nurse399935OH
2364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistAPRNCNP021116OH
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.021116OH

General Provider Information

NPI Number : 1992233456
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANA ANN WHITT APRN CNP
Provider Business Mailing Address
First Line : 3593 MEDINA RD STE 181
Second Line :
City : MEDINA
State : OH
Zip : 44256-8182
Country : US
Telephone Number : 330-536-3746
Fax Number : 888-204-5174
Provider Business Practice Location Address
First Line : 3593 MEDINA RD STE 181
Second Line :
City : MEDINA
State : OH
Zip : 44256-8182
Country : US
Telephone Number : 330-536-3746
Fax Number : 888-204-5174
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 07/21/2022

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