Healthcare Provider Details

I. General information

NPI: 1033778477
Provider Name (Legal Business Name): ALLIREE LOUISE ZUSHIN BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 S MAIN ST
COVENTRY TOWNSHIP OH
44319-3028
US

IV. Provider business mailing address

3489 COPLEY RD
COPLEY OH
44321-1606
US

V. Phone/Fax

Practice location:
  • Phone: 330-644-4095
  • Fax: 330-645-2033
Mailing address:
  • Phone: 330-608-4625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-305717
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: