Basic Information
Provider Information
NPI: 1609515576
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARCURI
FirstName: MICHAEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 39003 CAMELOT WAY
Address2:  
City: AVON
State: OH
PostalCode: 440113627
CountryCode: US
TelephoneNumber: 4407243219
FaxNumber:  
Practice Location
Address1: 33300 CLEVELAND CLINIC BLVD
Address2:  
City: AVON
State: OH
PostalCode: 440111172
CountryCode: US
TelephoneNumber: 4406955000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/31/2022
LastUpdateDate: 05/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN9454175FLN Nursing Service ProvidersRegistered Nurse 
163W00000XRN.404338OHN Nursing Service ProvidersRegistered Nurse 
363LF0000XAPRN.CNP.0031408OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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