Provider Demographics
NPI:1386879203
Name:HORTIAN, VANESSA ARMINE (DO, MS, LAC)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:ARMINE
Last Name:HORTIAN
Suffix:
Gender:F
Credentials:DO, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 CEDAR AVE APT 438
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2117
Mailing Address - Country:US
Mailing Address - Phone:201-803-6335
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # A30
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-4741
Practice Address - Country:US
Practice Address - Phone:216-444-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAKO000664171100000X
NJ25MZ00067000171100000X
SC235171100000X
NY004010171100000X
PAOT018517208600000X
OH58.033263390200000X
OH34.01731208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No171100000XOther Service ProvidersAcupuncturist
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program