Individual
TINA MOUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1553 OAK BRANCH CIR, BRUNSWICK, OH 44212-3597
(216) 906-5445
Mailing address
1553 OAK BRANCH CIR, BRUNSWICK, OH 44212-3597
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.433464
OH
163WM0705X
Medical-Surgical Registered Nurse
RN.433464
OH
163WS0121X
Plastic Surgery Registered Nurse
RN.433464
OH
163WW0000X
Wound Care Registered Nurse
RN.433464
OH
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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