Individual
LEAH RENAE VANTHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110
(216) 383-2222
(216) 298-0241
Mailing address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
(216) 298-0241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.12433-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051078
—
OH
Enumeration date
07/07/2011
Last updated
05/20/2019
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