Unknown Individual – Pediatric Nurse Practitioner, NPI 1548565039
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
19900 MARCHMONT RD
SHAKER HEIGHTS, OH 441222851
Phone: (216) 921-1069
Type: Mailing
19201 VILLAVIEW RD
CLEVELAND, OH 441193064
Phone: (216) 338-3005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44122)
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