Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN123176 | OH |
NPI | 1003903907 |
---|---|
Provider Name | Ms. Sandra Arnetta Schurdell |
First Address | Rocky River, OH 44116-2124 |
Second Address | Brecksville, OH 44141-3204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |