NADINE OMALLEY CRNP NPI 1003888330

NPI Information

  • NPI: 1003888330
  • Provider Name: NADINE OMALLEY, CRNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 2668 ELM RD
    STE 1, BLDG C
    CORTLAND, OH
    ZIP 44410
  • Phone: (330) 399-5104

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NPI Details

Nadine Omalley, CRNP is a women's health nurse practitioner in Cortland, OH. Nadine Omalley, CRNP NPI is 1003888330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2668 ELM RD
STE 1, BLDG C
CORTLAND, OH
ZIP 44410
Phone: (330) 399-5104
Fax: (330) 395-2231

The enumeration date for this NPI number is 2/2/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0101XRegistered NurseWomen's Health Care, Ambulatory276038OHIONo
2363LW0102XNurse PractitionerWomen's Health05974OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10007754MEDICAIDOHIO
20246111MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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