Provider Demographics
NPI:1336833300
Name:VLAD, CRISTINA TEODORA (RN)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:TEODORA
Last Name:VLAD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18001 ALPINE CIR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-7801
Mailing Address - Country:US
Mailing Address - Phone:216-571-6982
Mailing Address - Fax:
Practice Address - Street 1:9200 TREEWORTH BLVD
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2591
Practice Address - Country:US
Practice Address - Phone:216-957-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.389546163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice