Provider Demographics
NPI:1568136877
Name:CLEVELAND, DEBORAH J (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7851 WILDERNESS WAY # A
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-7037
Mailing Address - Country:US
Mailing Address - Phone:513-274-7340
Mailing Address - Fax:
Practice Address - Street 1:7851 WILDERNESS WAY # A
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-7037
Practice Address - Country:US
Practice Address - Phone:513-274-7340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN160688163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse