Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.0029290 | OH |
N | 363LW0102X | Nurse Practitioner - Women's Health | RN.400176 | OH |
NPI | 1003488461 |
---|---|
Provider Name | Mrs. Aimee Lynn Coliano |
First Address | Cleveland, OH 44195-6774 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2021 |
Last Update Date | 20/08/2021 |