Individual
TERA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 581-0500
Mailing address
PO BOX 73327N, CLEVELAND, OH 44193-1094
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-17261
OH
Other
Enumeration date
06/19/2015
Last updated
11/30/2016
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