Individual
MR. STEPHEN RICHARD PESSEFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
18660 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3483
(440) 234-8746
(440) 234-8748
Mailing address
18660 BAGLEY RD STE 404, MIDDLEBURG HEIGHTS, OH 44130-3483
(440) 234-8746
(440) 234-8748
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN249977
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.021419
OH
Other
Enumeration date
09/21/2009
Last updated
12/23/2019
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