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Individual

TIFFANY FARNSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
404 N WALNUT ST, DOVER, OH 44622-2850
(330) 343-6600
(330) 343-6405
Mailing address
130 W 3RD ST, DOVER, OH 44622-2934
(330) 343-6600
(330) 343-6405

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
398381
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP.0029275
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0455901
OH
Enumeration date
07/16/2019
Last updated
04/23/2026
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