Nina Petroff
Procedural Dermatology
23250 Chagrin Blvd Suite 350
Beachwood
, Ohio 44122-5470
Nina Petroff
Procedural Dermatology
23250 Chagrin Blvd Suite 350
Beachwood
, Ohio 44122-5470
(216) 765-7484
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Nina Petroff
- 23250 Chagrin Blvd Suite 350
- Beachwood, OH
- Zip : 44122-5470
- Fax : (216) 765-7484
- Phone : (216) 765-7474
Second Address
- Nina Petroff
- 23250 Chagrin Blvd Suite 350
- Beachwood, OH
- Zip : 44122-5470
- Fax : (216) 765-7484
- Phone : (216) 765-7474
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 35051014P | OH |
National Provider Identifier
| NPI | 1396836086 |
|---|---|
| Provider Name | Nina Petroff |
| First Address | Beachwood, OH 44122-5470 |
| Second Address | Beachwood, OH 44122-5470 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 08/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0866684 | (05) | OH |
| 76428 | (02) | OH |
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.