Healthcare Provider Details

I. General information

NPI: 1588601736
Provider Name (Legal Business Name): COLEEN GEARHART NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6707 POWERS BLVD STE 106
PARMA OH
44129-5463
US

IV. Provider business mailing address

230 QUADRAL DR STE B
WADSWORTH OH
44281-8375
US

V. Phone/Fax

Practice location:
  • Phone: 440-886-2509
  • Fax: 440-886-2547
Mailing address:
  • Phone: 330-336-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.07395
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.07395
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN.CNP.07395
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: