Individual
MRS. VETRICE KOTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6902 PEARL RD STE 502, PARMA, OH 44130-3621
(440) 842-6867
Mailing address
14864 RAPIDS RD, BURTON, OH 44021-9414
(440) 708-3631
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0027357
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2020
Last updated
10/19/2021
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