Individual
KATHERINE PROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24800 HIGHPOINT RD, BEACHWOOD, OH 44122-6041
(216) 831-6611
(216) 831-2726
Mailing address
24800 HIGHPOINT RD, BEACHWOOD, OH 44122-6041
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.02277-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058519
—
OH
Enumeration date
06/05/2006
Last updated
10/14/2013
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