Irene E Dettmer CRNP

NPI 1013919554 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1013919554
Gender Female
Enumeration Date 08/15/2005
Last Updated 11/23/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
275 GRAHAM RD
SUITE 4
CUYAHOGA FALLS OH, 44223-2203, US
Phone (330) 926-9409
Fax (330) 926-9428
Business Location
1990 MAHONING RD
DEERFIELD OH, 44411-8735, US
Phone (330) 654-2646
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Ohio
License Number NP 04647
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According to our database, Irene E Dettmer CRNP NPI is 1013919554, taxonomy code is 363L00000X and license number is NP 04647, license state is located at Ohio. Irene E Dettmer CRNP physically located at 275 Graham Rd, Cuyahoga Falls OH, 44223-2203. NPI Number Irene E Dettmer CRNP has the Individual type.

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1013919554 NPI number is provided on an as is basis without warranty of any kind. 1013919554 is maintained by the National Plan & Provider Enumeration System. The contents of Irene E Dettmer CRNP are for informational purposes only.