Provider Demographics
NPI:1033134333
Name:MOSSIDES, CARA A (CNP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:A
Last Name:MOSSIDES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:A
Other - Last Name:DEVAULT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-3500
Mailing Address - Fax:330-543-5001
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-3500
Practice Address - Fax:330-543-5001
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.07804-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner