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Individual

TIFFANY A LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3800
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6295
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
RN281260
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221314
UNISON
OH
01
000000503618
ANTHEM
OH
05
2683869
OH
01
363780
WELLCARE
OH
01
7447787
AETNA
OH
01
750859
BUCKEYE
OH
01
P00358810
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
01/29/2008
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