Organization
NORTHEASTERN OHIO INFECTIOUS DISEASE ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY A. HURDLEY (CREDENTIALING SUPERVISOR)
(330) 270-2350
Entity
Organization
Contact information
Practice address
540 PARMALEE AVE, SUITE # 610, YOUNGSTOWN, OH 44510-1716
(330) 744-4369
(330) 744-1728
Mailing address
540 PARMALEE AVE, SUITE # 610, YOUNGSTOWN, OH 44510-1716
(330) 744-4369
(330) 744-1728
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
COA17837NP
OH
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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