Individual
ANNIE M ISKRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1716
(216) 461-2550
Mailing address
105 HIDDEN GLEN TRL, CHARDON, OH 44024-1397
(216) 571-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-252483
IL
363L00000X
Nurse Practitioner
COA.07209-NP
OH
363L00000X
Nurse Practitioner
Primary
NP-07209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067434
—
OH
01
—
P01168477
MEDICARE RAILROAD
OH
Enumeration date
05/11/2007
Last updated
01/26/2022
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