Individual
MIKAELA ETAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-1000
Mailing address
668 LAWRENCE DR, WADSWORTH, OH 44281-8465
(440) 742-3473
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202315107
OH
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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