Individual
CATHRYN BAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1324 FORD RD, LYNDHURST, OH 44124-1431
(614) 284-8476
(216) 755-5195
Mailing address
1324 FORD RD, LYNDHURST, OH 44124-1431
(614) 284-8476
(216) 755-5195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 07452-NP
OH
363LF0000X
Family Nurse Practitioner
RN-204029-1
OH
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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