Healthcare Provider Details

I. General information

NPI: 1780957902
Provider Name (Legal Business Name): HALLIE PAIGE ARRIGON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2012
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE Q10
CLEVELAND OH
44194-0001
US

IV. Provider business mailing address

9500 EUCLID AVE Q10
CLEVELAND OH
44194-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-0415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.13370
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.380624-COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: