Provider Demographics
NPI:1407552409
Name:TOMLINSON, MICHELE BETH
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:BETH
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:CONNEAUT
Mailing Address - State:OH
Mailing Address - Zip Code:44030-1229
Mailing Address - Country:US
Mailing Address - Phone:440-593-2781
Mailing Address - Fax:
Practice Address - Street 1:595 PARKER ST
Practice Address - Street 2:
Practice Address - City:CONNEAUT
Practice Address - State:OH
Practice Address - Zip Code:44030-1229
Practice Address - Country:US
Practice Address - Phone:440-593-2781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide