Individual
CARLY RAE TEPSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Mailing address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
APRN.CNP.0030759
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030759
OH
Other
Enumeration date
02/16/2022
Last updated
10/26/2023
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