Provider Demographics
NPI:1083490346
Name:DEMIRI, VONESA (PA-C)
Entity Type:Individual
Prefix:
First Name:VONESA
Middle Name:
Last Name:DEMIRI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37310 TAIL FEATHER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2871
Mailing Address - Country:US
Mailing Address - Phone:440-731-0898
Mailing Address - Fax:
Practice Address - Street 1:34160 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-3220
Practice Address - Country:US
Practice Address - Phone:440-363-6788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant