Healthcare Provider Details

I. General information

NPI: 1598681603
Provider Name (Legal Business Name): RACHEL ELIZABETH GAYDOSH APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24500 CENTER RIDGE RD STE 200
WESTLAKE OH
44145-5630
US

IV. Provider business mailing address

5839 AMRAP DR
PARMA HEIGHTS OH
44130-1710
US

V. Phone/Fax

Practice location:
  • Phone: 440-201-4488
  • Fax:
Mailing address:
  • Phone: 440-309-8612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0042517
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: