Organization
HOLISTIC HEALTH SERVICE OF NE OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY S DALE CNP (NURSE PRACTITIONER)
(216) 556-0604
Entity
Organization
Contact information
Practice address
250 RICHMOND RD, RICHMOND HEIGHTS, OH 44143-1407
(216) 556-0604
Mailing address
250 RICHMOND RD, RICHMOND HEIGHTS, OH 44143-1407
(216) 556-0604
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
RN179386
OH
363LA2200X
Adult Health Nurse Practitioner
NP03562
OH
Other
Enumeration date
01/27/2010
Last updated
07/12/2013
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