Individual
GABRIELLE BURDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
102967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN102967
OHIO BOARD OF NURSING
OH
Enumeration date
02/08/2018
Last updated
02/08/2018
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