Provider Demographics
NPI:1245280957
Name:VOURLOJIANIS, SARAH ELAINE (RN MSN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELAINE
Last Name:VOURLOJIANIS
Suffix:
Gender:F
Credentials:RN MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18200 LORAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5605
Mailing Address - Country:US
Mailing Address - Phone:216-476-3526
Mailing Address - Fax:216-476-6967
Practice Address - Street 1:18200 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5605
Practice Address - Country:US
Practice Address - Phone:216-476-3526
Practice Address - Fax:216-476-6967
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN183808363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2445885Medicaid
OH353513OtherWELLCARE
OH000000504561OtherANTHEM
OH353513OtherWELLCARE
Q02996Medicare UPIN