Healthcare Provider Details

I. General information

NPI: 1295827889
Provider Name (Legal Business Name): DEANNA LYNN SCRIPTURE MSN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID
CLEVELAND OH
44195
US

IV. Provider business mailing address

6000 W. CREEK RD ST 10
INDEPENDENCE OH
44131
US

V. Phone/Fax

Practice location:
  • Phone: 800-223-2273
  • Fax:
Mailing address:
  • Phone: 800-223-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14-0075
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNP-03097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: