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Individual

MISS TANYA LYNN FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN PHMNP-BC

Contact information

Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-4552
Mailing address
13775 FORD LN APT 5, BURTON, OH 44021-9544
14402512405

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.413369
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0033602
OH

Other

Enumeration date
08/29/2017
Last updated
11/18/2024
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