Provider Demographics
NPI:1285359877
Name:ADORJAN, MARY CARMELA (LPN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CARMELA
Last Name:ADORJAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3099 E OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2462
Mailing Address - Country:US
Mailing Address - Phone:216-633-5081
Mailing Address - Fax:
Practice Address - Street 1:3099 E OVERLOOK RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2462
Practice Address - Country:US
Practice Address - Phone:216-633-5081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH091122164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty