Individual
MRS. KATHLEEN TAVERNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP,CWOCN
Contact information
Practice address
6801 BRECKSVILLE RD, INDEPENDENCE, OH 44131-5032
(216) 636-8742
Mailing address
6801 BRECKSVILLE RD, INDEPENDENCE, OH 44131-5032
(216) 636-8742
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.14368-NP
OH
Other
Enumeration date
04/15/2013
Last updated
04/18/2013
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