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Individual
KRISTIN AMANDA TATARKA
Active
Individual
KRISTIN AMANDA TATARKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC, ACNS-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA. 17884-NP
OH
364SA2200X
Adult Health Clinical Nurse Specialist
COA. 16690-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231015
—
OH
Enumeration date
02/07/2015
Last updated
02/28/2019
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