Healthcare Provider Details

I. General information

NPI: 1881531952
Provider Name (Legal Business Name): SUZANA CANCAR APRN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 W 25TH ST
CLEVELAND OH
44113-3108
US

IV. Provider business mailing address

8839 HOLLY LN
OLMSTED FALLS OH
44138-2701
US

V. Phone/Fax

Practice location:
  • Phone: 216-696-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0040733
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: