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Individual

TANA ANN WHITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN CNP

Contact information

Practice address
3593 MEDINA RD STE 181, MEDINA, OH 44256-8182
(330) 536-3746
(888) 204-5174
Mailing address
3593 MEDINA RD STE 181, MEDINA, OH 44256-8182
(330) 536-3746
(888) 204-5174

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
399935
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.021116
OH
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
APRNCNP021116
OH

Other

Enumeration date
05/30/2017
Last updated
07/21/2022
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