Provider Demographics
NPI:1811584535
Name:VENTOSA, DEBBIE MARIE
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:MARIE
Last Name:VENTOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8454 MACTHOMAS AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-8132
Mailing Address - Country:US
Mailing Address - Phone:330-806-6382
Mailing Address - Fax:
Practice Address - Street 1:8454 MACTHOMAS AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-8132
Practice Address - Country:US
Practice Address - Phone:330-806-6382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.178127163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty