Individual
MARY ELLEN CIESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
224 W EXCHANGE ST, SUITE330, AKRON, OH 44302-1704
(330) 344-6072
(330) 344-6447
Mailing address
606 HASKELL DR, AKRON, OH 44333-2826
(330) 864-4536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
161987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062673
—
OH
Enumeration date
07/26/2006
Last updated
07/08/2007
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