Individual
COURTNEY ELIZABETH FRUSCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124
(440) 312-7337
Mailing address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-7337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.14304-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14304
COA
OH
Enumeration date
07/24/2013
Last updated
05/31/2018
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