Individual
JOAN A NUNNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
7575 NORTHCLIFF AVE, SUITE 400, BROOKLYN, OH 44144
(216) 749-8276
Mailing address
5903 SOUTHINGTON DRIVE, PARMA, OH 44129
(440) 885-2526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26NN05458700
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
NP-09205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548935
ANTHEM
OH
05
—
2774752
—
OH
01
—
341847368039
CARESOURCE
OH
Enumeration date
09/22/2005
Last updated
01/13/2010
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