Individual
ALEXANDRIA MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 865-4866
Mailing address
1400 W PLEASANT VALLEY RD, PARMA, OH 44134-6720
(403) 347-1734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.026710
BOARD OF NURSING
OH
Enumeration date
06/29/2020
Last updated
01/22/2025
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