Healthcare Provider Details

I. General information

NPI: 1326289075
Provider Name (Legal Business Name): SVETLANA ALANA LITVAK CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23850 COMMERCE PARK
BEACHWOOD OH
44122-5829
US

IV. Provider business mailing address

23850 COMMERCE PARK
BEACHWOOD OH
44122-5829
US

V. Phone/Fax

Practice location:
  • Phone: 440-753-6030
  • Fax: 440-568-5003
Mailing address:
  • Phone: 440-753-6030
  • Fax: 440-568-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN275530
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.024350
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.024350
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: