Individual
CONSTANCE S POE-KOCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
RN160813
OH
363L00000X
Nurse Practitioner
Primary
COA.02593-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221141
UNISON
OH
01
—
000000503619
ANTHEM
OH
05
—
2039056
—
OH
01
—
363919
WELLCARE
OH
01
—
7453813
AETNA
OH
01
—
750952
BUCKEYE
OH
Enumeration date
07/14/2006
Last updated
09/26/2012
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