Provider Demographics
NPI:1508528175
Name:ORNDORFF, ALLISON (MSN, CRNP, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:ORNDORFF
Suffix:
Gender:F
Credentials:MSN, CRNP, NP-C
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:ERCEG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, CRNP, NP-C
Mailing Address - Street 1:3362 FOX CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SHARPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16150-9330
Mailing Address - Country:US
Mailing Address - Phone:724-854-9032
Mailing Address - Fax:
Practice Address - Street 1:2600 ELM RD NE
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9337
Practice Address - Country:US
Practice Address - Phone:330-372-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031279207Q00000X
PASP024531207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP024531OtherSTATE BOARD OF NURSING
OHAPRN.CNP.0031279OtherSTATE BOARD OF NURSING
OHRN.506807OtherRN STATE BOARD OF NURSING
PARN0694861OtherRN STATE BOARD OF NURSING