Tarkenton, Veronica

Tarkenton, Veronica is an individual health care provider with primary practice located at 3745 Grove Ave , Lorain OH 44055-2734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tarkenton, Veronica can be contacted via phone (440) 240-1655.

Contact Information

Primary practice address
3745 Grove Ave Lorain OH 44055-2734
Phone: (440) 240-1655
Fax: (440) 240-1655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.19015 Ohio

Profile Details

NPI number 1750714390
LBN Legal business name Tarkenton, Veronica
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2013
Last updated Nov 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750714390 NPPES
Ohio MEDICAID 0179296

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