Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 104423987 | OH |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APRN.CNP.0029446 | OH |
NPI | 1326712332 |
---|---|
Provider Name | Hannah Tyrrell |
First Address | Medina, OH 44256-1261 |
Second Address | Akron, OH 44308-1063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2021 |
Last Update Date | 03/08/2021 |