Individual provider · Type 1 NPI
Mary Kim
Nurse Practitioner · Cleveland, OH
Practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
6877 Silkwood Ln
Solon, OH 44139-5078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0038587 (OH) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1861378994
Mary Kim's National Provider Identifier is 1861378994, issued on Aug 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 13, 2025.