Organization
NURSE PRACTITIONER HEALTH SERVICES, LLC
Active
Other names
Provider Health Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PETRICK (OWNER)
(440) 879-1108
Entity
Organization
Contact information
Practice address
15400 PEARL RD STE 238, STRONGSVILLE, OH 44136-6000
(440) 879-1108
(440) 334-5403
Mailing address
15400 PEARL RD STE 238, STRONGSVILLE, OH 44136-6000
(440) 879-1108
(440) 334-5403
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
COA.10757-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068112
—
OH
Enumeration date
07/13/2012
Last updated
03/19/2025
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