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Ellarry D Oliver, NP

Nurse Practitioner, Family in Cleveland Heights, OH. Individual provider (NPI-1).

NPI number1922650803
StatusActive
Last updated in NPPESMay 4, 2022

Details

NPI
1922650803
Entity type
Individual (NPI-1)
Name
Ellarry D Oliver
Credential
NP
Sex
Male
Sole proprietor
No
Enumeration date
Jul 11, 2019
Certification date
May 4, 2022
Last updated
May 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN.CNP.029397OHYes

Practice location

5 Severance Cir Ste 505
Cleveland Heights, OH 44118-1588

Phone 216-291-5151 · Fax 216-291-4460

Mailing address

5 Severance Cir Ste 505
Cleveland Heights, OH 44118-1588

Phone 216-291-5151 · Fax 216-291-4460

Other practice locations

20000 Harvard Ave
Warrensville Heights, OH 44122-6805

Phone 216-491-6000

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