| Doctor Name: | MS. MARY C. DELLORSO |
| NPI Number: | 1144317603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | RN . 126781 NP-08251 |
| Business Practice Address: | 10000 Brecksville Rd Brecksville, OH - 441413204 |
| Business Phone Number: | 4405263030 |
| Business Fax Number: | 4405462733 |
| Mailing Address: | 394 Sprague Rd, BEREA |
| State: | OH |
| Postal Code: | 440172671 |
| Phone Number: | 4402434211 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN . 126781 NP-08251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |