Individual
AMELIA POLZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10524 EUCLID AVE STE 1165, CLEVELAND, OH 44106-2205
(216) 844-2400
(216) 983-5131
Mailing address
10524 EUCLID AVE STE 1165, CLEVELAND, OH 44106-2205
(216) 844-2400
(216) 983-5131
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.13864-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092474
—
OH
Enumeration date
11/16/2012
Last updated
12/02/2020
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