Provider Demographics
NPI:1437598893
Name:MAGURA, ANDRIY V (RN, APRN-CNP, PMHNP)
Entity type:Individual
Prefix:
First Name:ANDRIY
Middle Name:V
Last Name:MAGURA
Suffix:
Gender:M
Credentials:RN, APRN-CNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4527 LONGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-3817
Mailing Address - Country:US
Mailing Address - Phone:440-212-5862
Mailing Address - Fax:440-325-3019
Practice Address - Street 1:5522 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-2527
Practice Address - Country:US
Practice Address - Phone:440-212-5862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.355950163W00000X
OHAPRN.CNP.0038443363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse