Doud-Kearns, Tina Marie

Doud-Kearns, Tina Marie is an individual health care provider with primary practice located at 6 Riverside Plz , Blossburg PA 16912-1137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Doud-Kearns, Tina Marie can be contacted via phone (570) 638-2174.

Contact Information

Primary practice address
6 Riverside Plz Blossburg PA 16912-1137
Phone: (570) 638-2174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2164 South Carolina

Profile Details

NPI number 1134199235
LBN Legal business name Doud-Kearns, Tina Marie
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134199235 NPPES
South Carolina MEDICAID NP1308

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