Individual
TANISHA CIEPLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12632 INNOVATION FALLS DR UNIT 305, ORLANDO, FL 32828-7581
(419) 973-4901
Mailing address
12632 INNOVATION FALLS DR UNIT 305, ORLANDO, FL 32828-7581
(419) 973-4901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11006750
FL
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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