Individual
MARIAM ISSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 491-6000
Mailing address
6214 LILA DR, NORTH RIDGEVILLE, OH 44039-2579
(614) 440-4913
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0028791
OH
Other
Enumeration date
03/08/2020
Last updated
04/29/2024
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