Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN.347991 | OH |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 131400 | MO |
NPI | 1003866567 |
---|---|
Provider Name | Laura A Saksa |
First Address | Independence, OH 44131-2182 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 24/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100642080A | (05) | KS |
P93948 | (02) |