| NPI | 1760850911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN ROCHELLE Contract Manager, CFO 330-473-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 13542-NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH COA 12493-NM) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2019-08-11 |