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Individual

SUSAN G DIRANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 449-4500
Mailing address
PO BOX 74647, CLEVELAND, OH 44194-0730
(440) 879-0081
(440) 879-0084

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP04657
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000347256
ANTHEM
OH
05
2240453
OH
Enumeration date
11/25/2005
Last updated
09/01/2010
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