DR. EVELYN DUFFY APRN NPI 1689615700

NPI Information

NPI: 1689615700
Provider Name: DR. EVELYN DUFFY, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
8819 QUINCY AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 721-2177
Get Directions

DR. Evelyn Duffy, APRN is a gerontology nurse practitioner in Cleveland, OH with 43 years of experience. DR. Evelyn Duffy, APRN NPI is 1689615700. 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:

8819 QUINCY AVE
CLEVELAND, OH
ZIP 44106-419
Phone: (216) 721-2177
Fax: (216) 721-2375

The NPI 1689615700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/31/2020.

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
1	363LA2200X	Nurse Practitioner	Adult Health	NP-06870	OHIO	No
2	363LG0600X	Nurse Practitioner	Gerontology	06870	OHIO	Yes

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
1	000000541029	OTHER	OHIO	ANTHEM #
2	2003718	MEDICAID	OHIO
3	421779	OTHER	OHIO	WELLCARE
4	P00445625	OTHER	OHIO	RAILROAD MEDICARE
5	751128	OTHER	OHIO	BUCKEYE #
6	000000226045	OTHER	OHIO	UNISON #
7	5507634	OTHER	OHIO	AETNA #

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: 4/28/2024

NPI Synchronization or Removal

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