Individual
NATHANIEL DORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
20050 HARVARD AVE, SUITE 300, WARRENSVILLE HEIGHTS, OH 44122-6816
(216) 751-1212
Mailing address
7675 SARATOGA RD, MIDDLEBURG HEIGHTS, OH 44130-6675
(440) 633-7403
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.17683-NP
OH
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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