Provider Demographics
NPI:1679967624
Name:TOMIC, ANA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:
Last Name:TOMIC
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:SKRTIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # JB-1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1716
Practice Address - Country:US
Practice Address - Phone:216-442-5279
Practice Address - Fax:216-444-4672
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 17206-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner