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Traci Renzulli, FNP-BC

Nurse Practitioner, Family in Cleveland, OH. Individual provider (NPI-1).

NPI number1649678343
StatusActive
Last updated in NPPESDec 11, 2014

Details

NPI
1649678343
Entity type
Individual (NPI-1)
Name
Mrs. Traci Renzulli
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 11, 2014
Last updated
Dec 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyCOA.16811-NPOHYes

Practice location

1001 Lakeside Ave E
Suite 1000
Cleveland, OH 44114-1158

Phone 216-533-3614 · Fax 844-388-2245

Mailing address

1001 Lakeside Ave E
Suite 1000
Cleveland, OH 44114-1158

Phone 216-533-3614 · Fax 844-388-2245

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