Ni Ketut Kumala Dewi Hariadi
Nurse Practitioner in Independence, OH. Individual provider (NPI-1).
NPI number1114404159
StatusActive
Last updated in NPPESJul 23, 2018
Details
- NPI
- 1114404159
- Entity type
- Individual (NPI-1)
- Name
- Ni Ketut Kumala Dewi Hariadi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2018
- Last updated
- Jul 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AG07180050 | OH | Yes |
Practice location
5001 Rockside RdIndependence, OH 44131-2172
Phone 216-986-4000
Mailing address
9000 Moss Pointe CirOlmsted Twp, OH 44138-8168
Phone 216-258-3660
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nurse Practitioner providers in Independence, OH
- Kelsey Marie Brua, CNPNPI 1437831724
- Catherine Codner, NP-CNPI 1588188742
- Colleen Theresa Coleman, CNPNPI 1033308846
- Michelle Diane Davis, CNPNPI 1215945662
- Jennifer Lee DelostNPI 1497320790
- Rebecca Leann Doubrava, APRNNPI 1649030958
- Luann Etcher, N.P.NPI 1043308398
- Jennifer Fontana, CNPNPI 1669460432
- Brittany FosterNPI 1588221436
- Hospice Preferred Choice, INC.NPI 1477972529
All 24 Nurse Practitioner providers in Independence · All 961 providers in Independence
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.