Individual
HEATHER DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(216) 420-9324
Mailing address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(216) 420-9324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
023642
OH
363LF0000X
Family Nurse Practitioner
DELA-KSW4N1
NC
Other
Enumeration date
08/28/2018
Last updated
02/18/2020
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