Individual
DEYANNIRA TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1950 ROANOKE BLVD, SALEM, VA 24153
(540) 982-2463
Mailing address
82 RAVINE RIDGE DR S, POWELL, OH 43065-8926
(941) 962-6207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.485620
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0032093
OH
Other
Enumeration date
03/23/2022
Last updated
09/28/2022
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