Provider Demographics
NPI:1891412227
Name:PER DIEM HEALTHCARE LLC
Entity Type:Organization
Organization Name:PER DIEM HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:O
Authorized Official - Last Name:ESHUN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:614-908-3522
Mailing Address - Street 1:850 EUCLID AVE #819 #2333
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114
Mailing Address - Country:US
Mailing Address - Phone:614-908-3522
Mailing Address - Fax:
Practice Address - Street 1:850 EUCLID AVE #819 #2333
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114
Practice Address - Country:US
Practice Address - Phone:614-908-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty