NPI 1043694698

Tabitha Brainard

Practitioner Home Health Agency Warren, OH

Practice location

Address: 1146 Adelaide Ave SE, Warren, OH 44484-4305
Phone: (440) 855-7193

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 0130651 (OH)

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Registry record

NPI: 1043694698
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2015
Record last updated: 14 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.