Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.021311 | OH |
NPI | 1013430198 |
---|---|
Provider Name | Mrs. Marie Josephine Pacetti |
First Address | Berea, OH 44017-3118 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2017 |
Last Update Date | 26/10/2017 |