Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | NP-14869 | OH |
NPI | 1033541685 |
---|---|
Provider Name | Geralyn R Stepic |
First Address | Cleveland, OH 44194-4852 |
Second Address | Westlake, OH 44145-5293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2013 |
Last Update Date | 06/08/2013 |