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Ni Ketut Kumala Dewi Hariadi
Nurse Practitioner in Independence, Ohio
NPI 1114404159

Ni Ketut Kumala Dewi Hariadi is a Nurse Practitioner based in Olmsted Twp, OH. Ni Ketut Kumala Dewi Hariadi practices in Independence, OH. The NPI Number for Ni Ketut Kumala Dewi Hariadi is 1114404159 and holds a License No. AG07180050 (Ohio).

The current practice location address for Ni Ketut Kumala Dewi Hariadi is 5001 Rockside Rd, Independence, OH and can be reached out via phone at 216-986-4000.

Location: 5001 Rockside Rd, Independence, OH, 44138-8168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114404159
Provider Name
Ni Ketut Kumala Dewi Hariadi
Credential
Provider Entity Type
Individual
Gender
Female
Address
5001 Rockside Rd, Independence, OH, 44138-8168
Phone Number
216-986-4000
Fax Number
Provider Enumeration Date
07/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5001 Rockside Rd
City
Independence
State
Ohio
Zip
44131-2172
Phone Number
216-986-4000
Fax Number
person
Provider Business Mailing Address Details
Address
5001 Rockside Rd
City
Independence
State
Ohio
Zip
44131-2172
Phone Number
216-986-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AG07180050 (Ohio)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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