Provider Demographics
NPI:1932472859
Name:PARSELL, KRISTEN R (CNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:R
Last Name:PARSELL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:R
Other - Last Name:RUTHENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:9485 MENTOR AVE STE 210B
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4597
Mailing Address - Country:US
Mailing Address - Phone:440-255-5571
Mailing Address - Fax:
Practice Address - Street 1:9485 MENTOR AVE STE 210B
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4597
Practice Address - Country:US
Practice Address - Phone:440-255-5571
Practice Address - Fax:440-942-8431
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13147363LA2200X, 363LF0000X
OH13147-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily