Individual
MRS. KIMBERLY ANN ITAYEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, MATHER BUILDING B 270, CLEVELAND, OH 44106-1716
(216) 593-1662
Mailing address
11100 EUCLID AVE, MATHER BUILDING B 270, CLEVELAND, OH 44106-1716
(216) 593-1662
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
COA.18243-NP
OH
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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