Healthcare Provider Details

I. General information

NPI: 1124621255
Provider Name (Legal Business Name): ASHLEY PALUMBO GIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ANNE PALUMBO APRN, PNP-AC

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-9657
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-9657
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6059
  • Fax:
Mailing address:
  • Phone: 216-444-6059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN.424405
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAPRN.CNP.0028064
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: