Healthcare Provider Details

I. General information

NPI: 1003222928
Provider Name (Legal Business Name): MAUREEN PATRICE MCGOFF ALLEN BSN-RN, MSN-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAUREEN PATRICE MCGOFF APRN CNP

II. Dates (important events)

Enumeration Date: 07/11/2014
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-2744
US

IV. Provider business mailing address

1065 SHEERBROOK DR
CHAGRIN FALLS OH
44022-4168
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-5329
  • Fax: 216-445-1521
Mailing address:
  • Phone: 317-517-1062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.021610
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: