Individual
KATHY A DALZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
5319 HOAG DR, STE 100, SHEFFIELD VILLAGE, OH 44035-1492
(440) 930-6040
(440) 930-6094
Mailing address
5319 HOAG DR, STE 100, SHEFFIELD VILLAGE, OH 44035-1492
(440) 324-0092
(440) 324-0093
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP06612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2291961
—
OH
Enumeration date
03/23/2006
Last updated
10/09/2024
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