Provider Demographics
NPI:1750484747
Name:HROMYAK, DEBORAH K (CNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:HROMYAK
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 1:5055 E VIOLA AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-1748
Mailing Address - Country:US
Mailing Address - Phone:330-398-6139
Mailing Address - Fax:
Practice Address - Street 1:1001 LAKESIDE AVE E
Practice Address - Street 2:STE 1000
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-1158
Practice Address - Country:US
Practice Address - Phone:330-398-6139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP00272363LP2300X
OH00272-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP006352OtherGATEWAY
OH000000281324OtherANTHEM
OH0432071565Medicaid
OH500017898OtherUNITED HEALTHCARE
OH000000160896OtherUNISON
OH341788996027OtherCARESOURCE
OH500017898OtherUNITED HEALTHCARE
OHP006352OtherGATEWAY