Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN311420 | OH |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN.311420 | OH |
NPI | 1477797348 |
---|---|
Provider Name | Jeanine Tenhover |
First Address | Independence, OH 44131-2182 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2009 |
Last Update Date | 18/01/2017 |