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

Individual provider Gerontology Nurse Practitioner · NPI 1174956833

Korto Sulongteh-Nelson, NURSEPRACTITIONER is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2013
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Practice location Address checks out

1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162
Phone: (216) 263-9523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence COA.14717-NP (OH)

Record details

NPI number1174956833
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 16, 2013
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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