Individual
DEANNA M PETSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(330) 720-6388
Mailing address
35157 POPLAR ST, NORTH RIDGEVILLE, OH 44039-1549
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
COA.19128-NS
OH
364SG0600X
Gerontology Clinical Nurse Specialist
COA.19128-NS
OH
Other
Enumeration date
05/17/2016
Last updated
12/01/2021
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