Individual
TANYA WHITMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
23425 COMMERCE PARK STE 104, BEACHWOOD, OH 44122-5848
(216) 831-2900
(216) 831-4306
Mailing address
23425 COMMERCE PARK STE 104, BEACHWOOD, OH 44122-5848
(216) 831-2900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
APRN.CNP.0030746
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0030746
OH
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/26/2021
Last updated
02/15/2023
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