Individual
MR. MARK A. DAL PRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Mailing address
PO BOX 204, KIDRON, OH 44636-0204
(330) 857-7837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E7706
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.019734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187055
—
OH
Enumeration date
09/28/2006
Last updated
01/06/2021
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