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Individual

PAULA E MICKAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
8528 MULBERRY CHASE, NORTH RIDGEVILLE, OH 44039-6397
(440) 625-1110

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.287325-1
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
18025-NP
OH

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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