Provider Demographics
NPI:1063124352
Name:CIRA, SYDNEY ANGELINA
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ANGELINA
Last Name:CIRA
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 1:99 NORTHLINE CIR STE 215
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1481
Mailing Address - Country:US
Mailing Address - Phone:216-692-9525
Mailing Address - Fax:216-427-9054
Practice Address - Street 1:99 NORTHLINE CIR STE 215
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1481
Practice Address - Country:US
Practice Address - Phone:216-692-9525
Practice Address - Fax:216-427-9054
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNP.0032492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily