Tatarka, Kristin Amanda

Tatarka, Kristin Amanda is an individual health care provider with primary practice located at 8440 Market St , Youngstown OH 44512-6703. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tatarka, Kristin Amanda can be contacted via phone (330) 965-9999.

Contact Information

Primary practice address
8440 Market St Youngstown OH 44512-6703
Phone: (330) 965-9999
Fax: (330) 757-0000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X COA. 16690-NS Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA. 17884-NP Ohio

Profile Details

NPI number 1821489220
LBN Legal business name Tatarka, Kristin Amanda
Credentials RN, FNP-BC, ACNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2015
Last updated Feb 28th, 2019 - about 7 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 1821489220 NPPES
Ohio MEDICAID 0231015

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