Individual provider · Type 1 NPI

Tammy Lynn Micco, N.P.

Nurse Practitioner · Canton, OH

NPI number 1265835102 Active

Practice location

4650 Hills And Dales Rd NW
Canton, OH 44708

Fax (330) 649-8059

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X16567 (OH)
Nurse Practitioner Primary 363L00000XNP16567 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265835102

Tammy Lynn Micco, N.P.'s National Provider Identifier is 1265835102, issued on Oct 7, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, OH. The record was last updated on Oct 14, 2019.