Chanda Marie Zitiello, RN
Individual provider Active NPI Registered Nurse · Brook Park, OH
NPI 1174829618 · NPPES record last updated Feb 1, 2011
Key facts
- NPI
- 1174829618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 363160 (OH)
- Practice address
- 6433 Michael Dr
Brook Park, OH 44142-3875 - Phone
- (216) 258-5956
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363160 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 363160 | OH | Yes |
Addresses
Primary practice location
6433 Michael Dr
Brook Park, OH 44142-3875
Mailing address
6433 Michael Dr
Brook Park, OH 44142-3875
Phone (216) 258-5956
Other providers in Brook Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.