Healthcare Provider Details

I. General information

NPI: 1760147151
Provider Name (Legal Business Name): ANNA-MARIA CIFERNO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 E WESTERN RESERVE RD
YOUNGSTOWN OH
44514-3359
US

IV. Provider business mailing address

822 E WESTERN RESERVE RD
YOUNGSTOWN OH
44514-3359
US

V. Phone/Fax

Practice location:
  • Phone: 330-953-3414
  • Fax:
Mailing address:
  • Phone: 330-953-3414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202111806NP-PP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0030610
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.500624
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number202003581RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: