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Individual

ANNA MARIA BROZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3600 KOLBE RD, SUITE 127, LORAIN, OH 44053-1654
(440) 414-9100
(440) 282-7579
Mailing address
29325 HEALTH CAMPUS DR, SUITE 3, WESTLAKE, OH 44145-8201
(440) 414-9412
(440) 414-9059

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-03480
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000342758
ANTHEM
OH
05
2219101
OH
01
500004283
RAILROAD MEDICARE
Enumeration date
01/27/2006
Last updated
03/03/2011
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