| NPI | 1679542021 |
|---|---|
| Former Legal Business Name | ORCHARD HEALTH PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | DIANE LYNNE GOODWIN President 216-898-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-08145) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-09247) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-05095) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-00370) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-10-14 |