Healthcare Provider Details

I. General information

NPI: 1720495757
Provider Name (Legal Business Name): IRYNA KALININA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 COLUMBIA RD STE 200
WESTLAKE OH
44145-7215
US

IV. Provider business mailing address

CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVE, MAIL CODE A30
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 440-808-1212
  • Fax: 440-808-2060
Mailing address:
  • Phone: 216-444-2766
  • Fax: 216-445-3889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number15750-NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number15750-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: