Provider Demographics
NPI:1962892802
Name:SCAVINSKI, BELLA
Entity type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:SCAVINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 CASE PKWY STE 10
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2378
Mailing Address - Country:US
Mailing Address - Phone:330-425-8474
Mailing Address - Fax:
Practice Address - Street 1:2112 CASE PKWY STE 10
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2378
Practice Address - Country:US
Practice Address - Phone:330-425-8474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN254516163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse