Individual
ELLIOTT RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, BSN, RN
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195
(216) 444-2200
Mailing address
10221 FOXWOOD DR, NORTH ROYALTON, OH 44133-3359
(440) 724-9529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
417080
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
023524
OH
Other
Enumeration date
06/06/2018
Last updated
09/05/2018
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