Van Kan-Hunter, Tina Marie
Van Kan-Hunter, Tina Marie is an individual health care provider with primary practice located at 6780 Mayfield Rd , Mayfield Hts OH 44124-2203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Van Kan-Hunter, Tina Marie can be contacted via phone (440) 312-4500.Contact Information
Primary practice address
6780 Mayfield Rd
Mayfield Hts OH 44124-2203
Phone: (440) 312-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | APRN.CNP.022741 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 022741 | Ohio |
Profile Details
| NPI number | 1114495702 |
|---|---|
| LBN Legal business name | Van Kan-Hunter, Tina Marie |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2018 |
| Last updated | Mar 29th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114495702 | NPPES |
| Ohio | Other | 1114495702 | INTERNAL MEDICINE |
| Ohio | Other | 1114495702 | INTERNAL MEDICINE |
| Ohio | MEDICAID | 1114495702 | INTERNAL MEDICINE |
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