Provider Demographics
NPI:1720303969
Name:CLEVELAND, ALEXSIA
Entity Type:Individual
Prefix:
First Name:ALEXSIA
Middle Name:
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 HIDEAWAY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-5146
Mailing Address - Country:US
Mailing Address - Phone:614-948-2511
Mailing Address - Fax:614-948-3219
Practice Address - Street 1:1374 HIDEAWAY WOODS DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-5146
Practice Address - Country:US
Practice Address - Phone:614-948-2511
Practice Address - Fax:614-948-3219
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN358405163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse