Individual
CAROLYN JEAN LENZ-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
7379 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130
(440) 732-2173
(440) 491-3404
Mailing address
7379 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130
(440) 732-2173
(440) 491-3404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130847
MO
363LF0000X
Family Nurse Practitioner
130847
MO
363LP2300X
Primary Care Nurse Practitioner
130847
MO
363LW0102X
Women's Health Nurse Practitioner
130847
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130847
WOMEN'S HEALTH NP
MO
01
—
9801013
AMERICAN ACADEMY OF N.P.
MO
05
—
PENDING
—
MO
01
—
TUC104284044
NCC CERTIFICATION
MO
Enumeration date
06/07/2006
Last updated
02/09/2023
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