Provider Demographics
NPI:1134263569
Name:GASPAR, ANN ELIZABETH (RN)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:ELIZABETH
Last Name:GASPAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21475 LORAIN RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2124
Mailing Address - Country:US
Mailing Address - Phone:216-389-9114
Mailing Address - Fax:440-409-0173
Practice Address - Street 1:21475 LORAIN RD
Practice Address - Street 2:SUITE 7
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-2124
Practice Address - Country:US
Practice Address - Phone:216-389-9114
Practice Address - Fax:440-409-0173
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN240895163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health