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Individual

DEBORAH DURDELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 286-2243
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN295899
OH
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP09431
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801094420
OH
05
2745453
OH
Enumeration date
07/05/2007
Last updated
09/07/2022
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