Individual
YELENA BOGATELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP, NP-C
Contact information
Practice address
6803 MAYFIELD RD STE 409, MAYFIELD HTS, OH 44124-2214
(440) 946-4662
(440) 683-1882
Mailing address
6803 MAYFIELD RD, MAYFIELD HTS, OH 44124-2271
(440) 946-4662
(440) 683-1882
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
292338
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.292338
OH
363L00000X
Nurse Practitioner
Primary
AG08200167
OH
Other
Enumeration date
03/22/2013
Last updated
09/10/2020
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