Individual
MARIA A. HUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
Mailing address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1042624
KY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
134450
OH
363L00000X
Nurse Practitioner
3001042
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
00298
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3001042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041040
ANTHEM
KY
01
—
030214000
MAGELLAN
KY
01
—
065803
VALUE OPTIONS
KY
01
—
1195124
CHA HEALTH
KY
05
—
2550449
—
OH
05
—
7100114560
—
KY
01
—
9123179
PHCS
KY
Enumeration date
05/11/2006
Last updated
04/23/2018
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