Individual
M ANASTASIA DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2244
Mailing address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP08775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2633805
—
OH
Enumeration date
07/13/2006
Last updated
11/16/2022
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