Individual
JANICE M MECKLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
(216) 298-0241
Mailing address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
(216) 298-0241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11462-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052217
—
OH
Enumeration date
06/10/2010
Last updated
03/17/2018
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