Healthcare Provider Details

I. General information

NPI: 1588384143
Provider Name (Legal Business Name): KATHERINE ALEXIS SAVAKIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 RIDGE RD
PARMA OH
44129-3936
US

IV. Provider business mailing address

5955 RIDGE RD
PARMA OH
44129-3936
US

V. Phone/Fax

Practice location:
  • Phone: 440-888-0300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0032209
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: