DEANNA PETSAS


Address: 35157 Poplar St, North Ridgeville, OH 44039-1549
Phone: 3307206388

DEANNA PETSAS (NPI# 1760839070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760839070
Entity Type Individual
Full Name DEANNA PETSAS
Practice Address 35157 Poplar St
North Ridgeville
OH 44039-1549
Practice Telephone 3307206388
Enumeration Date 2016-05-17
Last Update Date 2017-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
COA.19128-NS OH Physician Assistants & Advanced Practice Nursing Providers
N 364SG0600X Clinical Nurse Specialist
Specialization: Gerontology
COA.19128-NS OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 35157 POPLAR ST
City NORTH RIDGEVILLE
State OH
Zip Code 44039-1549

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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1073040929 Stacy L Burns Clinical Nurse Specialist 250 S Osborn Ave, Youngstown, OH 44509-2909 2017-05-22
1134655350 Bindhu Sajay Clinical Nurse Specialist 45431 Isaac Dr, Beavercreek, OH 45431-3051 2017-05-08
1750828406 Keith B Evans Clinical Nurse Specialist 12 Lincoln Dr, Shelby, OH 44875-1482 2017-01-19
1083087852 Tracy A. Riley Clinical Nurse Specialist 2270 Mohler Dr Nw, North Canton, OH 44720-5736 2015-11-03
1639542574 Althea Premraj Clinical Nurse Specialist 26 Keswick Dr, Hudson, OH 44236-3338 2015-10-31
1013392646 Lydia Booher Clinical Nurse Specialist 2320 12th St Sw, Akron, OH 44314-2058 2015-07-24
1265813984 Ronald Rock Clinical Nurse Specialist 9500 Euclid Ave # M2-105, Cleveland, OH 44195-0001 2015-06-18
1518387257 Beth Canfield Clinical Nurse Specialist 6721 Idlelawn Ave Nw, Canal Fulton, OH 44614-9420 2014-04-21
1649605080 Kathleen Flaherty Clinical Nurse Specialist 2600 Cleveland Ave Nw, Rh 201g, Canton, OH 44709-3308 2013-09-04
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Competitor

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City NORTH RIDGEVILLE
Zip Code 44039

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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