Individual provider · Type 1 NPI

Diamante Polito

Nurse Practitioner · Lakewood, OH

NPI number 1124789193 Active

Practice location

14701 Detroit Ave
Lakewood, OH 44107-4115

Mailing address

7232 Justin Way
Mentor, OH 44060-4881

Other practice locations

  • 54 S State St, Painesville, OH 44077-3445 · (440) 578-8200
  • 21100 Southgate Park Blvd, Maple Heights, OH 44137-3004 · (440) 578-8200
  • 24200 Chagrin Blvd, Beachwood, OH 44122-5550 · (440) 578-8200
  • 38882 Mentor Ave, Willoughby, OH 44094-7875 · (440) 578-8200
  • 4726 Main Ave, Ashtabula, OH 44004-6929 · (440) 578-8200

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Nurse Practitioner Primary 363L00000XAPRN.CNP.0038775 (OH)
Registered Nurse 163W00000XRN.479914 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124789193

Diamante Polito's National Provider Identifier is 1124789193, issued on Jan 3, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakewood, OH. The record was last updated on Oct 23, 2026.