Individual
MICHELE A IERACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
925 TRAILWOOD DR, BOARDMAN, OH 44512-5008
(330) 758-7575
Mailing address
8006 GRAYSON DR, CANFIELD, OH 44406-7614
(330) 533-1673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A0610016
OH
Other
Enumeration date
09/07/2010
Last updated
01/10/2011
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