Individual
KATHLEEN MARIE FERRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
28100 CHAGRIN BLVD # 3301, WOODMERE, OH 44122-4522
(216) 831-1146
Mailing address
28100 CHAGRIN BLVD, WOODMERE, OH 44122-4522
(216) 831-1146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011880
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.019655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200797
—
OH
05
—
7100525010
—
KY
Enumeration date
09/03/2016
Last updated
03/08/2022
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