Healthcare Provider Details

I. General information

NPI: 1447209143
Provider Name (Legal Business Name): MARLA A SCHLOTE C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18101 LORAIN AVE
CLEVELAND OH
44111-5612
US

IV. Provider business mailing address

9381 RAINBOW LN
NORTH ROYALTON OH
44133-1242
US

V. Phone/Fax

Practice location:
  • Phone: 216-476-7157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberNP-00644
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: