Provider Demographics
NPI:1588341432
Name:AVRAMOVIC, MAJA (NP)
Entity type:Individual
Prefix:MS
First Name:MAJA
Middle Name:
Last Name:AVRAMOVIC
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:AVRAMOVIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:3600 KOLBE RD STE 127
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1652
Mailing Address - Country:US
Mailing Address - Phone:440-989-1800
Mailing Address - Fax:440-989-1801
Practice Address - Street 1:3600 KOLBE RD STE 127
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1652
Practice Address - Country:US
Practice Address - Phone:440-989-1800
Practice Address - Fax:440-989-1801
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0032526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily