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Mckenna Van Rafelghem
Family Nurse Practitioner in Willoughby, Ohio
NPI 1336766195

Mckenna Van Rafelghem is a Family Nurse Practitioner based in Willoughby, OH and is specialized in Family. Mckenna Van Rafelghem practices in Willoughby, OH. The NPI Number for Mckenna Van Rafelghem is 1336766195 and holds a License No. 026653 (Ohio).

The current practice location address for Mckenna Van Rafelghem is 6005 Som Center Rd, Willoughby, OH and can be reached out via phone at 440-946-7252.

Location: 6005 Som Center Rd, Willoughby, OH, 44094-9646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336766195
Provider Name
Mckenna Van Rafelghem
Credential
Provider Entity Type
Individual
Gender
Female
Address
6005 Som Center Rd, Willoughby, OH, 44094-9646
Phone Number
440-946-7252
Fax Number
Provider Enumeration Date
06/28/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
APRN.CNP.026653 01 OH APRN.CNP.026653
institution
Provider Business Practice Location Address Details
Address
6005 Som Center Rd
City
Willoughby
State
Ohio
Zip
44094-9646
Phone Number
440-946-7252
Fax Number
person
Provider Business Mailing Address Details
Address
6005 Som Center Rd
City
Willoughby
State
Ohio
Zip
44094-9646
Phone Number
440-946-7252
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
026653 (Ohio)
Definition
Definition to come...
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