Individual
HEATHER L KRICHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3360 HARDWOOD RD, MEDINA, OH 44256
(419) 207-1085
(419) 207-0607
Mailing address
3360 HARDWOOD HOLLOW RD, MEDINA, OH 44256-9693
(614) 871-8500
(614) 871-4803
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN.313822-COA1
OH
Other
Enumeration date
01/31/2007
Last updated
10/29/2014
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