MEDICARE: PATRICIA ANNE MAHER CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LN0005X	Critical Care Neonatal Nurse Practitioner	RN-229179	OH
2	363LP0200X	Pediatric Nurse Practitioner	RN-229179	OH

General Provider Information

NPI Number	:	1710079520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANNE MAHER CNP

Provider Business Mailing Address
First Line	:	3577 SILSBY RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3653
Country	:	US
Telephone Number	:	216-321-3532
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-1922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	09/11/2025

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