Individual
CARLA VALERIE HART-TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, PMHNP-C
Contact information
Practice address
3801 WHIPPLE AVE NW STE 1, CANTON, OH 44718-4802
(216) 413-0413
Mailing address
3801 WHIPPLE AVE NW STE 1, CANTON, OH 44718-4802
(216) 413-0413
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024172219
VA
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.13636
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.13636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073278
—
OH
Enumeration date
08/09/2012
Last updated
09/30/2022
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