Individual
MRS. JEAN MARIE ELLSWORTH-WOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18200 LORAIN AVE, LOWER LEVEL, CLEVELAND, OH 44111-5605
(216) 476-0683
Mailing address
5891 BRIARHILL DR, SOLON, OH 44139-2366
(440) 349-0447
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
NS-01789
OH
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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