Individual provider · Type 1 NPI
Cory A. Tepus
Gerontology Nurse Practitioner · Rootstown, OH
NPI number
1962101980
Active
Practice location
4211 OH-44
Rootstown, OH 44272
Mailing address
1450 Forest Dr
Barberton, OH 44203-7636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 0032700 (OH) |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 0032700 (OH) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0032700 (OH) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1962101980
Cory A. Tepus's National Provider Identifier is 1962101980, issued on Feb 28, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rootstown, OH. The record was last updated on Mar 15, 2023.