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NPI Code Detail

MEDICARE: ANDREA CLEVELAND

MEDICARE:   ANDREA  CLEVELAND
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
1363LP2300XPrimary Care Nurse PractitionerAPRN.CNP.0031007OH
2363L00000XNurse PractitionerAPRN.CNP.0031007OH

General Provider Information

NPI Number : 1790433894
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CLEVELAND
Provider Business Mailing Address
First Line : 1482 PARKWOOD RD
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-4718
Country : US
Telephone Number : 330-329-4412
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2022
Last Update Date : 01/10/2024

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Directions to “ ANDREA CLEVELAND ” Practice Location

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