| NPI | 1700460383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RAVELLI CEO, Lead Practitioner 330-277-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-19 |