Mrs Kimberly Lynn Trutza, APRN | |
25501 Chagrin Blvd, Beachwood, OH 44122-5603 | |
(216) 545-4800 | |
Not Available |
Full Name | Mrs Kimberly Lynn Trutza |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25501 Chagrin Blvd, Beachwood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487108890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 020232 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 020232 (Ohio) | Primary |
Entity Name | Northern Ohio Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
Entity Name | Community Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538236872 PECOS PAC ID: 5496648123 Enrollment ID: O20040205000697 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Uh Regional Hospitals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962886002 PECOS PAC ID: 6608978572 Enrollment ID: O20151007003021 |
Entity Name | New Manna Clg Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972149268 PECOS PAC ID: 2365789559 Enrollment ID: O20200228000603 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly Lynn Trutza, APRN 12965 Greystone Dr, Hiram, OH 44234-9699 Ph: (216) 570-0908 | Mrs Kimberly Lynn Trutza, APRN 25501 Chagrin Blvd, Beachwood, OH 44122-5603 Ph: (216) 545-4800 |