Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jun 30, 2020
License(s)
026222 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 29787 VITA LN | North Olmsted, OH 44070-5028 | 440-823-9437 |
| LOCATION | 30575 BRAINBRIDGE ROAD SUITE 200 | Solon, OH 44139 | 440-542-5000 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.