Mary K Pallotta
Nurse Practitioner - Primary Care
7255 Old Oak Blvd
Middleburg Heights
, Ohio 44130-3329
Mary K Pallotta
Nurse Practitioner - Primary Care
7255 Old Oak Blvd
Middleburg Heights
, Ohio 44130-3329
(440) 816-5437
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mary K Pallotta
- 7255 Old Oak Blvd
- Middleburg Heights, OH
- Zip : 44130-3329
- Fax : (440) 816-5437
- Phone : (440) 816-2525
Second Address
- Mary K Pallotta
- 7255 Old Oak Blvd
- Middleburg Heights, OH
- Zip : 44130-3329
- Fax : (440) 816-5437
- Phone : (440) 816-2525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | COA 16751-NP | OH |
National Provider Identifier
| NPI | 1023419470 |
|---|---|
| Provider Name | Mary K Pallotta |
| First Address | Middleburg Heights, OH 44130-3329 |
| Second Address | Middleburg Heights, OH 44130-3329 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2014 |
| Last Update Date | 18/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.