Individual
MS. CHRISTINE KACZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1730 W 25TH ST, SUITE 1100, CLEVELAND, OH 44113-3108
(216) 363-2207
(216) 363-2237
Mailing address
24651 CENTER RIDGE RD, SUITE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.18118-NP
OH
Other
Enumeration date
07/30/2015
Last updated
10/21/2015
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