Provider Demographics
NPI:1275823726
Name:CANNATTI, DEBRA JEANNE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEANNE
Last Name:CANNATTI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:JEANNE
Other - Last Name:TRANCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 SEAGATE STE 800
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-0075
Mailing Address - Fax:419-517-7105
Practice Address - Street 1:6755 W CENTRAL AVE STE 101
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617
Practice Address - Country:US
Practice Address - Phone:567-585-0075
Practice Address - Fax:419-517-7105
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-17
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4705128175363LF0000X
OHAPRN.CNP.020621363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily