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NPI Code Detail

MEDICARE: MRS. SUSANNE C. MEANEY ARNP

MEDICARE:  MRS. SUSANNE C. MEANEY  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0029493OH
2363L00000XNurse PractitionerARNP2545992FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316074719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSANNE C. MEANEY ARNP
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 440-893-9393
Fax Number :
Provider Business Practice Location Address
First Line : 551 WASHINGTON ST STE 101B
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-4403
Country : US
Telephone Number : 440-893-9393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 09/01/2021

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