| NPI | 1366154684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA TEDDER-EDWARDS Nurse Practitioner 216-526-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-01-26 |