Individual
MRS. KATHLEEN GABRIELLE DIPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
716 24TH ST NE, CANTON, OH 44714-1902
(419) 606-8997
Mailing address
716 24TH ST NE, CANTON, OH 44714-1902
(419) 606-8997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.353417
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024536
OH
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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