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Individual

EVAN WILLIAM PAXTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.024337
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
793254
OH
Enumeration date
11/12/2018
Last updated
04/10/2024
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