Healthcare Provider Details
I. General information
NPI: 1902399744
Provider Name (Legal Business Name): LAURA PITA FNP-BC, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/06/2018
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 PARK PL FL 2
CHAGRIN FALLS OH
44022-4442
US
IV. Provider business mailing address
60 CREEKVIEW CIR
MORELAND HILLS OH
44022-1035
US
V. Phone/Fax
- Phone: 216-200-6268
- Fax: 786-515-9688
- Phone: 216-704-2805
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.026426 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | RN.471396 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: