Provider Demographics
NPI:1285957944
Name:PAINTER-ROMANELLO, MARY R (NP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:R
Last Name:PAINTER-ROMANELLO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:30575 BAINBRIDGE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2275
Mailing Address - Country:US
Mailing Address - Phone:440-368-6868
Mailing Address - Fax:440-368-6866
Practice Address - Street 1:30575 BAINBRIDGE RD STE 300
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2275
Practice Address - Country:US
Practice Address - Phone:440-368-6868
Practice Address - Fax:440-368-6866
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2019-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA 03556-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health