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NPI Code Detail

MEDICARE: SUSAN E REIF CNP

MEDICARE: SUSAN E REIF CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner14356OH

General Provider Information

NPI Number : 1023452844
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN E REIF CNP
Provider Business Mailing Address
First Line : 6801 BRECKSVILLE RD
Second Line : SUITE 10
City : INDEPENDENCE
State : OH
Zip : 44131-5057
Country : US
Telephone Number : 216-444-4663
Fax Number : 216-636-8839
Provider Business Practice Location Address
First Line : 6801 BRECKSVILLE RD
Second Line : SUITE 10
City : INDEPENDENCE
State : OH
Zip : 44131-5057
Country : US
Telephone Number : 216-444-4663
Fax Number : 216-636-8839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2013
Last Update Date : 04/24/2013

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