Provider Demographics
NPI:1437477528
Name:LEDYARD, KATHERINE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LEDYARD
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38993 MEADOWBROOK CT
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-5737
Mailing Address - Country:US
Mailing Address - Phone:216-347-8491
Mailing Address - Fax:
Practice Address - Street 1:7575 NORTHCLIFF AVE STE 103
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3267
Practice Address - Country:US
Practice Address - Phone:419-957-6964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.11464-NP363LF0000X
OHAPRN.CNP.11464363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily