Individual
MS. KRISTY LYNN FANAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MSN, NNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1922
Mailing address
715 BEACON HILL DR, CHAGRIN FALLS, OH 44022-2188
(440) 498-1132
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP-08974
OH
Other
Enumeration date
10/12/2006
Last updated
06/08/2015
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