Provider Demographics
NPI:1053943134
Name:MCELROY, CHUNYAN
Entity type:Individual
Prefix:
First Name:CHUNYAN
Middle Name:
Last Name:MCELROY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25200 CHAGRIN BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5684
Mailing Address - Country:US
Mailing Address - Phone:216-383-2834
Mailing Address - Fax:216-383-2923
Practice Address - Street 1:25200 CHAGRIN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5684
Practice Address - Country:US
Practice Address - Phone:216-383-2834
Practice Address - Fax:216-383-2923
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAG0919006363LG0600X
OHAPRNCNP025919363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology