Tiyanna Lynne Cotton, LPN

Individual provider Active NPI Licensed Practical Nurse · Lima, OH

NPI 1053808014 · NPPES record last updated Apr 16, 2018

Key facts

NPI
1053808014
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.167732.MEDS-IV (OH)
Practice address
1191 Reese Ave
Lima, OH 45804-2070
Phone
(419) 979-7373
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN.167732.MEDS-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.167732.MEDS-IV OH Yes

Addresses

Primary practice location

1191 Reese Ave
Lima, OH 45804-2070

Mailing address

1191 Reese Ave
Lima, OH 45804-2070
Phone (419) 979-7373

Other providers in Lima, OH

All providers in Lima, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.