Individual
KAITLIN R EDLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7733 HAZELTON ST, BLACKLICK, OH 43004-8292
(480) 320-0817
Mailing address
7733 HAZELTON ST, BLACKLICK, OH 43004-8292
(480) 320-0817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.512723
OH
164W00000X
Licensed Practical Nurse
LPN.171777.MEDS-IV
OH
Other
Enumeration date
07/20/2021
Last updated
08/16/2022
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