Provider Demographics
NPI:1235149543
Name:TOMPKINS, RICHARD DENNIS (MSN, FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DENNIS
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:49 MAPLE STREET
Mailing Address - City:APPLE CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44606
Mailing Address - Country:US
Mailing Address - Phone:330-682-5548
Mailing Address - Fax:
Practice Address - Street 1:49 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:APPLE CREEK
Practice Address - State:OH
Practice Address - Zip Code:44606
Practice Address - Country:US
Practice Address - Phone:330-698-2015
Practice Address - Fax:330-684-2045
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1093893497OtherNPI GROUP NUMBER
OH1497834766OtherGROUP NPI NUMBER
OH1093893497OtherNPI GROUP NUMBER