Healthcare Provider Details

I. General information

NPI: 1437598893
Provider Name (Legal Business Name): ANDRIY V MAGURA RN, APRN-CNP, PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5522 PEARL RD
PARMA OH
44129-2527
US

IV. Provider business mailing address

4527 LONGWOOD AVE
PARMA OH
44134-3817
US

V. Phone/Fax

Practice location:
  • Phone: 440-212-5862
  • Fax:
Mailing address:
  • Phone: 440-212-5862
  • Fax: 440-325-3019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0038443
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.355950
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: