Individual
MRS. MARY BUSHER KASAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN183903
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA-11537-NP
OH
Other
Enumeration date
07/16/2010
Last updated
12/22/2020
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