Individual
ANNETTE M FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-06494
OH
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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