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Individual

MIRNA I CARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 229-2891
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 229-2891

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
241402
OH
363L00000X
Nurse Practitioner
Primary
241402
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2261305
OH
01
CONP76211
MEDICARE
OH
Enumeration date
03/29/2007
Last updated
02/12/2019
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