Individual
KATHRYN WAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7565 HOPKINS RD, MENTOR, OH 44060-7064
(440) 255-6179
Mailing address
7565 HOPKINS RD, MENTOR, OH 44060-7064
(440) 255-6179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN230173
OH
163WS0200X
School Registered Nurse
RN230173
OH
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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