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Individual

MRS. BRENDA DIGIULIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
14701 DETROIT AVE STE 522, LAKEWOOD, OH 44107-4109
(216) 228-3232
(216) 228-7507
Mailing address
14701 DETROIT AVE STE 522, LAKEWOOD, OH 44107-4109
(216) 228-3232
(216) 228-7507

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP-10700
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1078324
ARNP
KY
01
2026P
ARNP
KY
05
789000866
KY
Enumeration date
08/25/2006
Last updated
03/27/2018
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