person
Kristen J Mizumoto, NP
Psychiatric/Mental Health Nurse Practitioner in Mentor, Ohio
NPI 1225388689

Kristen J Mizumoto is a Psychiatric/Mental Health Nurse Practitioner based in Mentor, OH and is specialized in Psychiatric/Mental Health. Kristen J Mizumoto practices in Mentor, OH and has the professional credentials of NP. The NPI Number for Kristen J Mizumoto is 1225388689 and holds a License No. COA13309 (Ohio).

The current practice location address for Kristen J Mizumoto is 5930 Heisley Rd, Mentor, OH and can be reached out via phone at 440-639-3509 and via fax at 440-352-2040. You can also correspond with Kristen J Mizumoto through the mailing address at 5930 HEISLEY RD, MENTOR, OH - 44060-1834 (mailing address contact number: 440-639-3509).

Location: 5930 Heisley Rd, Mentor, OH, 44060-1834
person
Provider Profile Details
NPI Number
1225388689
Provider Name
Kristen J Mizumoto
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5930 Heisley Rd, Mentor, OH, 44060-1834
Phone Number
440-639-3509
Fax Number
440-352-2040
Provider Enumeration Date
09/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2362429 05 OH
institution
Provider Business Practice Location Address Details
Address
5930 Heisley Rd
City
State
Zip
44060-1834
Phone Number
440-639-3509
Fax Number
440-352-2040
person
Provider Business Mailing Address Details
Address
5930 Heisley Rd
City
State
Zip
44060-1834
Phone Number
440-639-3509
Fax Number
440-352-2040
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
COA13309 (Ohio)
Definition
Definition to come...
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