Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | COA.14876-NP | OH |
NPI | 1033551379 |
---|---|
Provider Name | Nichole Renee Kraynick |
First Address | Akron, OH 44320-4203 |
Second Address | Akron, OH 44320-4203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2013 |
Last Update Date | 21/10/2015 |