Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Aug 18, 2021
License(s)
384234 (OH), 0029182 (OH), APRN.CNP.0029182 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 27100 CEDAR RD | Beachwood, OH 44122-1109 | 216-831-6500 |
| MAILING | 17610 SCOTTSDALE BLVD | Shaker Heights, OH 44120-5225 | 216-430-9456 |
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