Healthcare Provider Details

I. General information

NPI: 1740896273
Provider Name (Legal Business Name): CHRISTINA MARIE REDFERN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 RIDGE RD
PARMA OH
44129-3936
US

IV. Provider business mailing address

3593 MEDINA RD # 181
MEDINA OH
44256-8182
US

V. Phone/Fax

Practice location:
  • Phone: 440-888-0300
  • Fax: 440-596-4815
Mailing address:
  • Phone:
  • Fax: 440-596-4815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.026625
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: