Provider Demographics
NPI:1376070706
Name:RICHTER, ELANA SATIN (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:ELANA
Middle Name:SATIN
Last Name:RICHTER
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 NORTH LEAVITT ROAD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001
Mailing Address - Country:US
Mailing Address - Phone:513-629-0640
Mailing Address - Fax:
Practice Address - Street 1:3600 KOLBE RD STE 209
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1652
Practice Address - Country:US
Practice Address - Phone:440-960-3237
Practice Address - Fax:440-960-3238
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020678363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner