Individual
CLYTEMNESTRA CENIT FEDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
1628 14TH ST, CUYAHOGA FALLS, OH 44223-2308
(330) 310-2409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021392
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.021392
OH
Other
Enumeration date
02/13/2018
Last updated
11/10/2020
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