TARA TIERRA TATE RN
NPI 1902186372
Registered Nurse - Medical-Surgical in Warrensville Hts, OH
Active since August 17, 2011
About Tara Tierra Tate Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA TIERRA TATE RN (NPI 1902186372) is an individual medical-surgical provider in Warrensville Hts, Ohio, licensed in Ohio (340779) and active in the NPI registry since August 2011.
NPPES Registry Identity
NPI1902186372
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameTARA TIERRA TATECredential: RN
Location Address4800 COUNTRY LANE, 304Warrensville Hts, OH 44128-6104
Mailing Address4800 Country Lane, 304Warrensville Hts, OH 44128-6104 · (216) 978-4350
Phone(216) 978-4350
Sole ProprietorYes
Enumeration DateAugust 17, 2011
✔ NPI 1902186372 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in OH · 340779
4800 COUNTRY LANE, Warrensville Hts, OH 44128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902186372, enumerated as an "individual" on August 17, 2011.
The provider is located at 4800 COUNTRY LANE 304 WARRENSVILLE HTS, OH 44128 and the phone number is (216) 978-4350.
Registered Nurse with taxonomy code 163WM0705X and a focus in Medical-Surgical.
