Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Heidi Petrilla | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
Description | Provider ID: 2715495 | [sources] | |||
First name | Heidi | [sources] | |||
Last name | Petrilla | [sources] | |||
NPI | 1124154810 | [sources] | |||
Sector | 38-Non-Agency Nurse RN or LPN | [sources] | |||
Last change | Last processed | First seen |
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
us-medoh-614b3ddc842e706416036f5b3c1feca55552e594
· us-fed-excl-heidi-nicole-petrilla-44410-cortland
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