Healthcare Provider Details

I. General information

NPI: 1053011130
Provider Name (Legal Business Name): CURITIA V. EMBRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6512 FRANKLIN BLVD
CLEVELAND OH
44102-2912
US

IV. Provider business mailing address

1430 ANSEL RD
CLEVELAND OH
44106-4006
US

V. Phone/Fax

Practice location:
  • Phone: 216-281-6100
  • Fax: 216-281-0892
Mailing address:
  • Phone: 216-456-1734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number09211155
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: