Most Relevant Information
Provider Data
| NPI Number: | 1003398942 |
| Provider Name: | RESHA VATTY APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.023590 |
Most Important Dates
| Enumeration Date: | 09/06/2018 |
| Last Updated: | 09/25/2018 |
Provider Practice Location
9500 EUCLID AVE
CLEVELAND
OH
441951078
Practice Location Phone/Fax
| Phone: | 2163394080 |
| Fax: |
Provider Mailing Location
14064 CHARDON WINDSOR RD
CHARDON
OH
440248945
Provider Mailing Phone/Fax
| Phone: | 4406695560 |
| Fax: |