Individual
TINA MCNALL-ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
231 SPRINGSIDE DR, SUITE 204, AKRON, OH 44333-4530
(330) 666-9544
(330) 670-8569
Mailing address
231 SPRINGSIDE DR, SUITE 204, AKRON, OH 44333-4530
(330) 666-9544
(330) 670-8569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-07742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342108
ANTHEM
OH
05
—
2553786
—
OH
01
—
P00142601
MEDICARE-RAILROAD
OH
Enumeration date
06/15/2006
Last updated
04/14/2011
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