Provider Demographics
NPI:1932881422
Name:SVRGA ALLISON, CASSANDRA KATHERINE (PMNHP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:KATHERINE
Last Name:SVRGA ALLISON
Suffix:
Gender:F
Credentials:PMNHP
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:KATHERINE
Other - Last Name:SVRGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP, RN
Mailing Address - Street 1:10701 EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1702
Mailing Address - Country:US
Mailing Address - Phone:440-759-4070
Mailing Address - Fax:
Practice Address - Street 1:10701 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1702
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034442390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program