Individual provider · Type 1 NPI

Kristen J. Mizumoto, NP

Psychiatric/Mental Health Nurse Practitioner · Mentor, OH

NPI number 1225388689 Active

Practice location

5930 Heisley Rd, Neighboring
Mentor, OH 44060-1834

Fax (440) 352-2040

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XCOA13309 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1225388689

Kristen J. Mizumoto, NP's National Provider Identifier is 1225388689, issued on Sep 13, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mentor, OH. The record was last updated on Jan 31, 2014.