Provider Demographics
NPI:1982107215
Name:MANTO, ALEONA K (APRN)
Entity Type:Individual
Prefix:
First Name:ALEONA
Middle Name:K
Last Name:MANTO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6803 MAYFIELD RD STE 500
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2215
Mailing Address - Country:US
Mailing Address - Phone:440-312-7470
Mailing Address - Fax:
Practice Address - Street 1:6803 MAYFIELD RD STE 500
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2215
Practice Address - Country:US
Practice Address - Phone:440-312-7470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.447997163W00000X
OHAPRN.CNP.0029320363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse