Professional Provider Services LLC
NPI #1598522690 in North Ridgeville, Ohio
Provider Information
- NPI Number
- 1598522690
- Entity Type
- Organization
- Organization Name
- Professional Provider Services LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 5, 2024
- Last Updated
- Mar 6, 2024
Practice Location
- Address
- 38642 CENTER RIDGE RD
- City
- North Ridgeville
- State
- Ohio
- ZIP Code
- 44039-5812
- Phone
- (440) 387-5500
Authorized Official
- Name
- DAVID O'NEILL
- Title
- MANAGING MEMBER
- Phone
- (440) 387-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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