Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allyssa Bohanan

Individual provider Adult Health Nurse Practitioner · NPI 1437572120

Allyssa Bohanan is a Nurse Practitioner in Warren, Ohio. Qualified in 2009, 17 years ago. Practices with Illumia Health LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2014

Practice location Address checks out

1934 Niles Cortland Rd NE Ste B
Warren, OH 44484-1055
Phone: (330) 841-4032
Fax: (330) 841-4381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.024749 (OH)

Record details

NPI number1437572120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2014
Last updated in NPPESJune 9, 2020
Certification dateJune 9, 2020
Mailing address1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Illumia Health Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Warren