Individual
DR. EVELYN DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8819 QUINCY AVE, CLEVELAND, OH 44106-3419
(216) 721-2177
(216) 721-2375
Mailing address
8819 QUINCY AVE, CLEVELAND, OH 44106-3419
(216) 721-2177
(216) 721-2375
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP-06870
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
06870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000226045
UNISON #
OH
01
—
000000541029
ANTHEM #
OH
05
—
2003718
—
OH
01
—
421779
WELLCARE
OH
01
—
5507634
AETNA #
OH
01
—
751128
BUCKEYE #
OH
01
—
P00445625
RAILROAD MEDICARE
OH
Enumeration date
06/09/2006
Last updated
12/31/2020
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