Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | COA.13307-NP | OH |
NPI | 1013297019 |
---|---|
Provider Name | Laura Ann Bobrowski |
First Address | Cleveland, OH 44106-1716 |
Second Address | Euclid, OH 44117-1714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2011 |
Last Update Date | 12/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0054368 | (05) | OH |