Provider Demographics
NPI:1598864365
Name:WHELAN, ADRIANA TERESA (ND, CNP)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:TERESA
Last Name:WHELAN
Suffix:
Gender:F
Credentials:ND, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6077 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2123
Mailing Address - Country:US
Mailing Address - Phone:440-439-0775
Mailing Address - Fax:
Practice Address - Street 1:12201 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-4310
Practice Address - Country:US
Practice Address - Phone:216-707-3425
Practice Address - Fax:216-707-3529
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-06234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily