ALISA P NAMMAVONG

CLEVELAND, OH
NPI1912518788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  APRN.CNP.0027355)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.0027355)
Enumeration Date2020-08-13
Last Update Date2022-07-28
Business Address
ALISA P NAMMAVONG FNP-BC
9500 EUCLID AVE
CLEVELAND, OH 44195-4299
Phone number: 216-444-2200
Mailing Address
ALISA P NAMMAVONG FNP-BC
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-444-2000