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Individual

TINA HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(740) 348-4027
(740) 348-4027
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.07957
OH
367500000X
Certified Registered Nurse Anesthetist
APRNCRNA07957
OH
367500000X
Certified Registered Nurse Anesthetist
NA-072015
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2518118
OH
Enumeration date
01/30/2006
Last updated
11/11/2024
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