# RIDGEPARK NURSE PRACTITIONERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIDGEPARK MEDICAL ASSOCIATES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528311198
- **Legal business name:** RIDGEPARK MEDICAL ASSOCIATES, INC.
- **Authorized official:** CHARLES ROBERT KOEPKE M.D. (PRESIDENT)
- **Authorized official phone:** (216) 749-8276

## Contact information

- **Practice address:** 7575 NORTHCLIFF AVE, SUITE 400, BROOKLYN, OH 44144-3267
- **Practice address phone:** (216) 749-8276
- **Mailing address:** 7575 NORTHCLIFF AVE, SUITE 400, BROOKLYN, OH 44144-3267
- **Mailing address phone:** (216) 749-8276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2012
- **Last updated:** 02/15/2013