Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA.16431-NP | OH |
NPI | 1003215427 |
---|---|
Provider Name | Denise Louise Page |
First Address | Akron, OH 44333-2483 |
Second Address | Cleveland, OH 44195-2483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2014 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0109527 | (05) | OH |
1841239274 | PARTNERS PHYSICIAN GROUP TYPE II NPI (01) | OH |
2551671 | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # (01) | OH |
9338635 | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # (01) | OH |