Provider Demographics
NPI:1619565801
Name:GURITZA, EMMA SHERIDAN
Entity Type:Individual
Prefix:MISS
First Name:EMMA
Middle Name:SHERIDAN
Last Name:GURITZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3467 PRINCESS CT
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1777
Mailing Address - Country:US
Mailing Address - Phone:330-888-9358
Mailing Address - Fax:
Practice Address - Street 1:9150 MERCER LN
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1647
Practice Address - Country:US
Practice Address - Phone:440-838-8732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide