Most Relevant Information
Provider Data
| NPI Number: | 1003401951 |
| Provider Name: | ANGELA TERESE BONVISSUTO APRN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.0028817 |
Most Important Dates
| Enumeration Date: | 03/03/2021 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
9500 EUCLID AVE
CLEVELAND
OH
441950002
Practice Location Phone/Fax
| Phone: | 2164442200 |
| Fax: |
Provider Mailing Location
9500 EUCLID AVE
CLEVELAND
OH
441950002
Provider Mailing Phone/Fax
| Phone: | 2164442200 |
| Fax: |