Vishin Joe

NPI 1083015564 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1083015564
Gender Female
Enumeration Date 09/15/2014
Last Updated 09/22/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1001 LAKESIDE AVE E
CLEVELAND OH, 44114-1158, US
Phone (216) 906-9526
Fax
Business Location
37854 BRIAR LAKES DR
AVON OH, 44011-3105, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Ohio
License Number COA 16547 NP
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According to our database, Vishin Joe NPI is 1083015564, taxonomy code is 363LA2200X and license number is COA 16547 NP, license state is located at Ohio. Vishin Joe physically located at 1001 Lakeside Ave E, Cleveland OH, 44114-1158. NPI Number Vishin Joe has the Individual type.

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1083015564 NPI number is provided on an as is basis without warranty of any kind. 1083015564 is maintained by the National Plan & Provider Enumeration System. The contents of Vishin Joe are for informational purposes only.