Individual
MRS. ELAINE TINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1730 E BROAD ST, HAZLETON, PA 18201-5622
(570) 455-9589
(570) 455-8848
Mailing address
19 ASH LN, DRUMS, PA 18222-2003
(570) 788-4605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP007000B
PA
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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