Individual
TIFFANY HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
505 WALNUT ST, WAPAKONETA, OH 45895-1868
(419) 738-0725
Mailing address
312 S JUDKINS AVE, LIMA, OH 45805-3140
(419) 231-1409
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0036571
OH
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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