Individual
DANIELLE M MUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4726 MAIN AVE, ASHTABULA, OH 44004-6929
(440) 953-9999
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023434
OH
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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