Provider Demographics
NPI:1619652906
Name:TUNNACLIFFE, ALANA CHRISTINE (FNP)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:CHRISTINE
Last Name:TUNNACLIFFE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:CHRISTINE
Other - Last Name:RALPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 933432
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0039
Mailing Address - Country:US
Mailing Address - Phone:937-641-5072
Mailing Address - Fax:937-641-6129
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1873
Practice Address - Country:US
Practice Address - Phone:937-641-5072
Practice Address - Fax:937-641-6129
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH464421163WP0218X
OH0034970363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0218XNursing Service ProvidersRegistered NursePediatric Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0033658Medicaid