Healthcare Provider Details

I. General information

NPI: 1336387695
Provider Name (Legal Business Name): CHRISTINE ROSSETTI NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2009
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 COUNTRY CLUB BLVD #255
NORTH OLMSTED OH
44070-5344
US

IV. Provider business mailing address

20265 EMERY RD #255
NORTH RANDALL OH
44128-4122
US

V. Phone/Fax

Practice location:
  • Phone: 440-893-0200
  • Fax: 440-793-7194
Mailing address:
  • Phone: 440-523-9966
  • Fax: 216-584-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberA0908110
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: