Individual provider · NPI-1

Mikayla Depolo, APRN, FNP-C

Nurse Practitioner, Family · Twinsburg, OH

NPI number1386250256
StatusActive
Last updated in NPPESOct 8, 2020

Details

NPI
1386250256
Entity type
Individual (NPI-1)
Name
Mikayla Depolo
Credential
APRN, FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 16, 2020
Certification date
Oct 8, 2020
Last updated
Oct 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN.CNP.0027422OHYes

Practice location

10085 Darrow Rd
Twinsburg, OH 44087-1409

Phone 330-425-4300

Mailing address

27031 Oakwood Dr Apt 212h
Olmsted Falls, OH 44138-3110

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