Healthcare Provider Details

I. General information

NPI: 1528476397
Provider Name (Legal Business Name): ALANNA JOY PYLYPIV NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVENUE
CLEVELAND OH
44106
US

IV. Provider business mailing address

11100 EUCLID AVENUE
CLEVELAND OH
44106
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-7481
  • Fax: 216-201-6752
Mailing address:
  • Phone: 216-844-7481
  • Fax: 216-201-6752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCTP16147
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number16147
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: