| NPI | 1861863490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A. HURDLEY Credentialing Supervisor 330-270-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH COA17837NP) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |