Individual provider · Type 1 NPI
Tina Marie Route, MSN, NP-C
Primary Care Nurse Practitioner · Towanda, PA
NPI number
1407297633
Active
Practice location
132 Colonial Dr
Towanda, PA 18848-8107
Fax (570) 265-3616
Mailing address
2476 Sylvania Rd
Troy, PA 16947-9603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 542682-1 (NY) |
| Home Health Registered Nurse | 163WH0200X | RN550586 (PA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | SPO14286 (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1407297633
Tina Marie Route, MSN, NP-C's National Provider Identifier is 1407297633, issued on Jul 16, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Towanda, PA. The record was last updated on Sep 2, 2015.