Individual
MICHELE A DULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
20050 HARVARD AVE, SUITE 304, WARRENSVILLE HEIGHTS, OH 44122-6816
(216) 475-0440
Mailing address
20050 HARVARD AVE, SUITE 304, WARRENSVILLE HEIGHTS, OH 44122-6816
(216) 475-0440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP-03295
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-03295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363818
ANTHEM
OH
01
—
000000495738
ANTHEM
OH
05
—
2108945
—
OH
01
—
NP77891
MEDICARE PIN
OH
01
—
P00331716
MEDICARE PIN
OH
Enumeration date
12/14/2005
Last updated
12/30/2007
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