Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 337053 | OH |
NPI | 1114220969 |
---|---|
Provider Name | Mrs. Augustina C Annorzie |
First Address | Cleveland, OH 44102-1831 |
Second Address | Cleveland, OH 44109-1998 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2010 |
Last Update Date | 17/12/2010 |