Individual
NICOLE FATEMEH SCAVUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
525 CHESTNUT COMMONS DR, ELYRIA, OH 44035-9611
(440) 406-8153
(440) 406-8312
Mailing address
211 EDGEFIELD BLVD, MARION, OH 43302-5801
(740) 914-4178
(740) 386-2640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.026142
OH
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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