Individual
DEIDRA BOBINCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
99 NORTHLINE CIR STE 215, EUCLID, OH 44119-1481
(216) 383-2834
(216) 383-2923
Mailing address
99 NORTHLINE CIR STE 215, EUCLID, OH 44119-1481
(216) 383-2834
(216) 383-2923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
OH 278422
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
15008-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110734
—
OH
Enumeration date
08/30/2013
Last updated
10/27/2021
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