MEDICARE: DAPHNE A HARGATE CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SC0200X	Critical Care Medicine Clinical Nurse Specialist	06728-NP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639195811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAPHNE A HARGATE CNP

Provider Business Mailing Address
First Line	:	3605 WARRENSVILLE CENTER RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5203
Country	:	US
Telephone Number	:	440-684-5979
Fax Number	:	440-684-5952

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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