Doctor Name: | CAROL DUBER |
NPI Number: | 1114290459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP03298 |
Business Practice Address: | 2570 Som Center Rd Willoughby Hills, OH - 440949607 |
Business Phone Number: | 4409432500 |
Business Fax Number: | |
Mailing Address: | 2570 Som Center Rd, WILLOUGHBY HILLS |
State: | OH |
Postal Code: | 440949607 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/16/2012 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | NP03298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |