Individual provider · Type 1 NPI
Kahla Gagne
Primary Care Nurse Practitioner · Broadview Heights, OH
NPI number
1205221264
Active
Practice location
1305 Stoney Run Trl
Broadview Heights, OH 44147-2555
Mailing address
11100 Euclid Ave
Cleveland, OH 44106-1716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN.368003-COA17217 (OH) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1205221264
Kahla Gagne's National Provider Identifier is 1205221264, issued on Apr 6, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Broadview Heights, OH. The record was last updated on Apr 6, 2015.