Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NI KETUT KUMALA DEWI HARIADI
ActiveNI KETUT KUMALA DEWI HARIADI is a Nurse Practitioner healthcare provider located in INDEPENDENCE, Ohio. NPI 1114404159 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · INDEPENDENCE, OH
Registration Details
- NPI Number
- 1114404159
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2018 (8.0668271210995 yrs)
- Last Updated
- Jul 23, 2018
- License
-
AG07180050 (OH)
Practice Information
- Address
-
5001 ROCKSIDE RDINDEPENDENCE, OH, 441312172Browse OH providers · Browse ZIP 44131
- Phone
- 2169864000
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in INDEPENDENCE, OH
| Name | Credential | NPI |
|---|---|---|
| JENNIFER FONTANA | CNP | 1669460432 |
| BILLIE J SHOOK | CNP | 1548211733 |
| MRS. MICHELLE DIANE DAVIS | CNP | 1215945662 |
| LUANN ETCHER | N.P. | 1043308398 |
| KATRINA HAZEL-RENEE HOBSON | CNP | 1245350099 |
| MRS. ANN M SCHOMMER | CNP | 1306067764 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.