Individual
MARTHA K PASSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6847 N CHESTNUT ST, SUITE 100, RAVENNA, OH 44266-3929
(330) 297-6110
(330) 296-0592
Mailing address
6847 N CHESTNUT ST, SUITE 100, RAVENNA, OH 44266-3929
(330) 297-6110
(330) 296-0592
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP07179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2432871
—
OH
Enumeration date
07/18/2006
Last updated
11/27/2020
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