Provider Demographics
NPI:1407805955
Name:STEIN VAVRO, MAUREEN (CNM)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:STEIN VAVRO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29160 CENTER RIDGE RD STE M
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5258
Mailing Address - Country:US
Mailing Address - Phone:440-835-6996
Mailing Address - Fax:
Practice Address - Street 1:29101 HEALTH CAMPUS DR
Practice Address - Street 2:SUITE 250
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5270
Practice Address - Country:US
Practice Address - Phone:440-827-5483
Practice Address - Fax:440-827-5453
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0765962Medicaid
OH0765962Medicaid
OHNM01645Medicare PIN
OHNM01643Medicare PIN
OHNM01644Medicare PIN