Individual
THERESA M FENOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(440) 878-2500
(440) 878-3075
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 878-2500
(440) 878-3075
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.14980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091463
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE II NPI
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
09/10/2013
Last updated
12/27/2021
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