Provider Demographics
NPI:1417282344
Name:AKRAM, MARIDAH KAREEMAH (CNP)
Entity Type:Individual
Prefix:MS
First Name:MARIDAH
Middle Name:KAREEMAH
Last Name:AKRAM
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3671 E 139TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4557
Mailing Address - Country:US
Mailing Address - Phone:216-256-3972
Mailing Address - Fax:216-921-0630
Practice Address - Street 1:3671 E 139TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4557
Practice Address - Country:US
Practice Address - Phone:216-256-3972
Practice Address - Fax:216-921-0630
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN284365163W00000X
OHAPRN.CNP.021594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.021594OtherOHIO BOARD OF NURSING