Most Relevant Information
Provider Data
| NPI Number: | 1003484643 |
| Provider Name: | TANYA SUE HUCKSHOLD APRN-CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.0029277 |
Most Important Dates
| Enumeration Date: | 06/10/2021 |
| Last Updated: | 09/03/2024 |
Provider Practice Location
715 E WESTERN RESERVE RD
POLAND
OH
445143358
Practice Location Phone/Fax
| Phone: | 3307263204 |
| Fax: | 3307299316 |
Provider Mailing Location
715 E WESTERN RESERVE RD
POLAND
OH
445143358
Provider Mailing Phone/Fax
| Phone: | 3307263204 |
| Fax: |