Provider Demographics
NPI:1851716583
Name:FEMIA, TINA MARIE (CNS)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:MARIE
Last Name:FEMIA
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 E WESTERN RESERVE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3358
Mailing Address - Country:US
Mailing Address - Phone:330-965-8157
Mailing Address - Fax:330-965-5684
Practice Address - Street 1:715 E WESTERN RESERVE RD FL 2
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3358
Practice Address - Country:US
Practice Address - Phone:330-965-8157
Practice Address - Fax:330-965-5684
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15628-NS364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health