Individual
BETH EZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 ARCH ST STE G2, AKRON, OH 44304-1430
(330) 375-4100
Mailing address
PO BOX 470531, BROADVIEW HTS, OH 44147-0531
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN295868
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444215
—
OH
01
—
341458069BA
SUMMA INSURANCE
OH
01
—
P00215687
RAILROAD MEDICARE
OH
Enumeration date
03/04/2006
Last updated
10/30/2020
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