| Doctor Name: | MARY K PALLOTTA |
| NPI Number: | 1023419470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP, MSN |
| License Number: | COA 16751-NP |
| Business Practice Address: | 7255 Old Oak Blvd Middleburg Heights, OH - 441303329 |
| Business Phone Number: | 4408162525 |
| Business Fax Number: | 4408165437 |
| Mailing Address: | 7255 Old Oak Blvd, MIDDLEBURG HEIGHTS |
| State: | OH |
| Postal Code: | 441303329 |
| Phone Number: | 4408162525 |
| Fax Number: | 4408165437 |
| NPI Enumeration Date: | 09/04/2014 |
| NPI Last Update Date: | 12/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | COA 16751-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |