Provider Demographics
NPI:1427760933
Name:FELDER, DIANNE ELIZABETH
Entity type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:ELIZABETH
Last Name:FELDER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DIANNE
Other - Middle Name:E
Other - Last Name:FELDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15 RICHMOND SQ
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2418
Mailing Address - Country:US
Mailing Address - Phone:216-317-3576
Mailing Address - Fax:
Practice Address - Street 1:25805 FAIRMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-2260
Practice Address - Country:US
Practice Address - Phone:216-765-1943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide