Provider Demographics
NPI:1033957709
Name:MEHRAN, MARY ELIZABETH
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:MEHRAN
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 1:238 HARVEY CT
Mailing Address - Street 2:
Mailing Address - City:SAINT BERNARD
Mailing Address - State:OH
Mailing Address - Zip Code:45217-1212
Mailing Address - Country:US
Mailing Address - Phone:513-846-7277
Mailing Address - Fax:
Practice Address - Street 1:238 HARVEY CT
Practice Address - Street 2:
Practice Address - City:SAINT BERNARD
Practice Address - State:OH
Practice Address - Zip Code:45217-1212
Practice Address - Country:US
Practice Address - Phone:513-846-7277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant