Audra Deborah Tinnin, CNP is a 
Nurse Practitioner - Family based in Holden, Missouri. Audra Deborah Tinnin is licensed to practice in Missouri (license number 2024007271) and her current practice location is 
612 E 10th St, Holden, Missouri. She can be reached at her office (for appointments etc.) via phone at 
(816) 732-6010.
NPI number for Audra Deborah Tinnin is 1700642691 and her current mailing address is 12614 Fountain Lake Dr, Grandview, Missouri. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700642691.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Audra Deborah Tinnin | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Practitioner - Family | 
|---|
| Location | 612 E 10th St, Holden, Missouri | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1700642691
 - Provider Enumeration Date: 02/27/2024
 - Last Update Date: 02/27/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Audra Deborah Tinnin such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1700642691 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 363LF0000X | Nurse Practitioner - Family  | 2024007271 (Missouri) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audra Deborah Tinnin is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Audra Deborah Tinnin, CNP 12614 Fountain Lake Dr, Grandview, MO 64030-1595 Ph: (918) 851-8337 | Audra Deborah Tinnin, CNP 612 E 10th St, Holden, MO 64040-9421 Ph: (816) 732-6010 | 
		
		 
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