Provider Demographics
NPI:1932789674
Name:NORDEEN, TINA L (NP)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:L
Last Name:NORDEEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:410 UNIVERSITY PKWY STE 1520
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-6840
Mailing Address - Country:US
Mailing Address - Phone:803-502-8400
Mailing Address - Fax:803-761-6250
Practice Address - Street 1:410 UNIVERSITY PKWY STE 1520
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6840
Practice Address - Country:US
Practice Address - Phone:803-502-8400
Practice Address - Fax:803-761-6250
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN134499363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily