| Organization Name: | NURSE PRACTITIONER HEALTH SERVICES, LLC |
| NPI Number: | 1104181338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL PETRICK (OWNER) |
| Mailing Address: | 19205 Pearl Rd Suite 119 Strongsville |
| State: | OH US |
| Postal Code: | 441366902 |
| Phone Number: | 4408791108 |
| Fax Number: | 4408790526 |
| NPI Enumeration Date: | 07/13/2012 |
| NPI Last Update Date: | 12/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | COA.10757-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |