Individual
MOLLY GUMUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7606
Mailing address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7606
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.15446
OH
363LW0102X
Women's Health Nurse Practitioner
COA 15446-NP
OH
Other
Enumeration date
12/09/2013
Last updated
04/13/2022
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