Individual
MARK GARRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, APRN
Contact information
Practice address
1000 S CLEVELAND MASSILLON RD STE 1, FAIRLAWN, OH 44333-9204
(330) 754-4844
(833) 974-2062
Mailing address
1000 S CLEVELAND MASSILLON RD STE 1, FAIRLAWN, OH 44333-9204
(330) 754-4844
(833) 974-2062
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.022430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382650
—
OH
01
—
APRN.CNP.022430
OHIO ELICENSE OHIO PROFESSIONAL LICENSURE
OH
Enumeration date
04/26/2017
Last updated
04/13/2026
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