Individual
ELLEN M PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9500 EUCLID AVE, E-11, CLEVELAND, OH 44195-0001
(216) 444-4846
(216) 636-9766
Mailing address
9500 EUCLID AVE, E-11, CLEVELAND, OH 44195-0001
(216) 444-4846
(216) 636-9766
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP02846
OH
363LA2100X
Acute Care Nurse Practitioner
RN126720
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP02846
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
RN126720
OH
Other
Enumeration date
12/08/2005
Last updated
07/11/2014
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