Provider Demographics
NPI:1770241218
Name:ABBARNO, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:ABBARNO
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 1:16715 LUCKY BELL LN
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-5125
Mailing Address - Country:US
Mailing Address - Phone:216-401-0335
Mailing Address - Fax:
Practice Address - Street 1:16715 LUCKY BELL LN
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5125
Practice Address - Country:US
Practice Address - Phone:216-401-0335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered