Tyisha Anderson, LPN
Individual provider Active NPI Licensed Practical Nurse · Parma, OH
NPI 1669902896 · NPPES record last updated Jun 20, 2017
Key facts
- NPI
- 1669902896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.161834.MEDS-IV (OH)
- Practice address
- 5671 Chevrolet Blvd Apt 4
Parma, OH 44130-8715 - Phone
- (216) 258-3809
- NPI assigned
- Jun 20, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.161834.MEDS-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.161834.MEDS-IV | OH | Yes |
Addresses
Primary practice location
5671 Chevrolet Blvd Apt 4
Parma, OH 44130-8715
Mailing address
5671 Chevrolet Blvd Apt 4
Parma, OH 44130-8715
Other providers in Parma, OH
- Yomna Amer
- Camille Kelly Anderson
- Doralynn Anderson
- Dorethea Anderson
- Stacie Dyan Anderson
- Gino Joseph Andreano
- Mary Kathleen Andreano
- John Charles Andrefsky
- Andrew Lubandi
- Amanda Andrus
All providers in Parma, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.