Organization
ELITE NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW VOLANSKY (MANAGER)
(440) 398-0515
Entity
Organization
Contact information
Practice address
6 CREEK RIDGE RD, ROCKY RIVER, OH 44116-2060
(440) 398-0515
(440) 398-0515
Mailing address
6 CREEK RIDGE RD, ROCKY RIVER, OH 44116-2060
(440) 398-0515
(440) 398-0515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3065203
—
OH
Enumeration date
03/01/2010
Last updated
11/04/2011
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