Individual
ELISE COUDRIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1799
(330) 363-9971
Mailing address
2600 6TH ST SW, CANTON, OH 44710-1799
(330) 363-9971
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.023912
OH
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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