NI KETUT HARIADI

Nurse Practitioner

NPI: 1114404159IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

AG07180050(OH)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2018

Contact & Hours

Address: 5001 ROCKSIDE RD
INDEPENDENCE, OH 44131
Phone: (216) 986-4000

Quick Facts

NPI: 1114404159
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 8

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