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Tyisha Anderson, LPN

Licensed Practical Nurse in Parma, OH. Individual provider (NPI-1).

NPI number1669902896
StatusActive
Last updated in NPPESJun 20, 2017

Details

NPI
1669902896
Entity type
Individual (NPI-1)
Name
Tyisha Anderson
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2017
Last updated
Jun 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN.161834.Meds-IVOHYes

Practice location

5671 Chevrolet Blvd Apt 4
Parma, OH 44130-8715

Phone 216-258-3809

Mailing address

5671 Chevrolet Blvd Apt 4
Parma, OH 44130-8715

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