Individual
SUSAN MAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8200
Mailing address
2820 W MARKET ST FL 2, FAIRLAWN, OH 44333-4043
(216) 514-8260
(216) 514-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-019559
OH
Other
Enumeration date
09/06/2016
Last updated
12/21/2020
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