National Provider Identifier Database

TINA G CANADA, RN BSN – NPI #1508396045
Diabetes Educator


Contact Information

TINA G CANADA, RN BSN
1000 W HARLEM AVE
MONMOUTH, IL61462-1007
Phone: 309-734-1424
Fax:
Website:
Specialty Taxonomy Code
* Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for TINA G CANADA

NPI Number 1508396045
Credentials RN BSN
Entity Individual
Enumeration date 06/18/2017
Last updated 06/18/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 041-218084
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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