Individual
TRACY CORTEZAVAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3567 RESERVE COMMONS DR, SUITE 100, MEDINA, OH 44256
(330) 536-3746
Mailing address
3593 MEDINA RD STE 181, MEDINA, OH 44256-8182
(330) 536-3746
(419) 696-8819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.368860
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0033297
OH
Other
Enumeration date
02/17/2023
Last updated
04/26/2023
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