Individual
DR. BETTE K IDEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD RN CCRN CS
Contact information
Practice address
11100 EUCLID AVE, MAILSTOP WEARN 5057, CLEVELAND, OH 44106-1716
(216) 844-2202
(216) 844-3850
Mailing address
239 RACE ST, BEREA, OH 44017-2320
(440) 243-6586
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
RN.105167
OH
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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