Healthcare Provider Details

I. General information

NPI: 1083054407
Provider Name (Legal Business Name): HEATHER PELINE ZSARNAY L.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2013
Last Update Date: 06/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15932 ELEANORE DR
CLEVELAND OH
44135-1338
US

IV. Provider business mailing address

15932 ELEANORE DR
CLEVELAND OH
44135-1338
US

V. Phone/Fax

Practice location:
  • Phone: 216-650-4474
  • Fax:
Mailing address:
  • Phone: 216-650-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN.141522-M-IV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: