Individual
KELLY HRIESIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
990 LEXINGTON AVE, MANSFIELD, OH 44907-2246
(419) 756-6111
(419) 756-2549
Mailing address
654 BURGER AVE, MANSFIELD, OH 44906-2028
(419) 512-0944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.302617
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024106
OH
Other
Enumeration date
12/26/2018
Last updated
01/15/2024
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