Individual
PAUL HOMITZ-DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
8701 MENTOR AVE, MENTOR, OH 44060-6103
(440) 266-0770
Mailing address
10337 COVINGTON LN, TWINSBURG, OH 44087-2673
(330) 881-3246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
365924
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
AG0116113
OH
Other
Enumeration date
12/18/2015
Last updated
02/11/2016
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