Individual
AUDRA DEBORAH TINNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
612 E 10TH ST, HOLDEN, MO 64040-9421
(816) 732-6010
(816) 732-6011
Mailing address
12614 FOUNTAIN LAKE DR, GRANDVIEW, MO 64030-1595
(918) 851-8337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024007271
MO
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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