Individual
MAUREEN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7031
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18946
OH
363LA2200X
Adult Health Nurse Practitioner
COA.18946-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162297
—
OH
Enumeration date
03/29/2016
Last updated
12/17/2020
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