Individual
TIA KOHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E GOLDFINCH DR, TIFFIN, IA 52340-4706
(319) 560-3474
Mailing address
PO BOX 506, TIFFIN, IA 52340-0506
(319) 560-3474
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G176029
IA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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