Basic Information
| Provider Information | |||||||||
| NPI: | 1992799902 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARAMBASICK | ||||||||
| FirstName: | EVELYN | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | APRN, BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 726 TINKERS LN | ||||||||
| Address2: | |||||||||
| City: | SAGAMORE HILLS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440672364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309081603 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9500 EUCLID AVE | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441950001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2164445037 | ||||||||
| FaxNumber: | 2164459409 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN145615 | OH | X | Nursing Service Providers | Registered Nurse | 363L00000X | COA.03291-NP | OH | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 2119282 | 05 | OH | MEDICAID |