Provider Demographics
NPI:1134880222
Name:REITANO, TORI PEYTON (CNM- APRN)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:PEYTON
Last Name:REITANO
Suffix:
Gender:F
Credentials:CNM- APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15651 HOOPER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MILLFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45761-9631
Mailing Address - Country:US
Mailing Address - Phone:740-856-7129
Mailing Address - Fax:
Practice Address - Street 1:15651 HOOPER RIDGE RD
Practice Address - Street 2:
Practice Address - City:MILLFIELD
Practice Address - State:OH
Practice Address - Zip Code:45761-9631
Practice Address - Country:US
Practice Address - Phone:740-856-7129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-01
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife