# THEODORA RIZK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982945515
- **Gender:** F
- **Credential:** CNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | COA.01064-NS | OH | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013