Individual
DEBORAH FATTLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-3402
Mailing address
1224 DELLWOOD DR, WESTLAKE, OH 44145-1345
(216) 835-5604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN145059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071583
—
OH
Enumeration date
03/29/2007
Last updated
07/08/2007
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