Individual
TINA MARIE VAN KAN-HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4500
Mailing address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
APRN.CNP.022741
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
022741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114495702
INTERNAL MEDICINE
OH
01
—
1114495702
PRIMARY CARE NP
—
05
—
1114495702
—
OH
Enumeration date
11/13/2018
Last updated
03/29/2022
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