Individual
CHRISTINE MAKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
29505 DETROIT RD, WESTLAKE, OH 44145-1932
(440) 871-5181
Mailing address
29505 DETROIT RD, WESTLAKE, OH 44145-1932
(440) 871-5181
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
00042619
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.NP.0032660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00042619
OBN
OH
Enumeration date
11/08/2022
Last updated
11/16/2022
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