Individual
MARY D BORON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4330 W 150TH ST, METROHEALTH OUTPATIENT SURGERY CENTER, CLEVELAND, OH 44135-1362
(216) 251-6990
Mailing address
4330 W 150TH ST, METROHEALTH OUTPATIENT SURGERY CENTER, CLEVELAND, OH 44135-1362
(216) 251-6990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP01401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2382032
—
OH
01
—
27460006500
BWC
OH
Enumeration date
07/12/2006
Last updated
05/20/2009
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