Individual
TARYN R. BURHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
143 GOUGLER AVE, KENT, OH 44240
(330) 673-1016
Mailing address
1342 MOCKINGBIRD DR, KENT, OH 44240-6204
(330) 256-1119
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023219
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.023219
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.023219
OH
Other
Enumeration date
09/25/2018
Last updated
02/08/2019
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