Provider Demographics
NPI:1811539398
Name:GHANDOUR, ERIN (APRN- CNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GHANDOUR
Suffix:
Gender:F
Credentials:APRN- CNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:COLLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11100 EUCLID AVENUE
Mailing Address - Street 2:SEIDMAN CANCER CENTER 4TH FLOOR, BERGER OFFICE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-286-3444
Mailing Address - Fax:216-201-6790
Practice Address - Street 1:11100 EUCLID AVENUE
Practice Address - Street 2:SEIDMAN CANCER CENTER 4TH FLOOR, BERGER OFFICE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-286-3444
Practice Address - Fax:216-201-6790
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025803363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE