Provider Demographics
NPI:1669707949
Name:TORTELLI, DOMENICA (CD(DONA))
Entity type:Individual
Prefix:
First Name:DOMENICA
Middle Name:
Last Name:TORTELLI
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19006 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8125
Mailing Address - Country:US
Mailing Address - Phone:440-572-2574
Mailing Address - Fax:440-846-2547
Practice Address - Street 1:19006 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-8125
Practice Address - Country:US
Practice Address - Phone:440-572-2574
Practice Address - Fax:440-846-2547
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula