Organization
NP ELDERCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA JORGENSEN CNP (OWNER)
(216) 513-9727
Entity
Organization
Contact information
Practice address
16313 LAKE AVE, LAKEWOOD, OH 44107-1250
(216) 513-9727
Mailing address
16313 LAKE AVE, LAKEWOOD, OH 44107-1250
(216) 513-9727
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP 01060
OH
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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