Individual
MRS. TANA M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
3887 COLUMBIA AVE NW, MASSILLON, OH 44646-1920
(330) 837-5044
(216) 986-1191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN317117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693081
—
OH
Enumeration date
09/27/2006
Last updated
06/03/2009
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