Provider Demographics
NPI:1922398379
Name:FRISINA, TINA A (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:A
Last Name:FRISINA
Suffix:
Gender:F
Credentials:APRN-CNP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20800 HARVARD RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HIGHLAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7251
Mailing Address - Country:US
Mailing Address - Phone:216-358-2315
Mailing Address - Fax:216-201-7237
Practice Address - Street 1:13207 RAVENNA RD
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-7032
Practice Address - Country:US
Practice Address - Phone:440-285-2960
Practice Address - Fax:440-285-2959
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.12298-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily