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Contact Information

TIA MANDELA
1016 SUGARBUSH DR
ASHLAND, OH44805
 Phone: 419-903-0404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TIA MANDELA · (Female)

NPI Number 1184102089
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2018
Last updated 08/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.022940
Hospital affiliation(s) Not Available
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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