Provider Demographics
NPI:1336387695
Name:ROSSETTI, CHRISTINE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:ROSSETTI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20265 EMERY RD
Mailing Address - Street 2:#255
Mailing Address - City:NORTH RANDALL
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4122
Mailing Address - Country:US
Mailing Address - Phone:440-523-9966
Mailing Address - Fax:216-584-2895
Practice Address - Street 1:25000 COUNTRY CLUB BLVD
Practice Address - Street 2:#255
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5344
Practice Address - Country:US
Practice Address - Phone:440-893-0200
Practice Address - Fax:440-793-7194
Is Sole Proprietor?:No
Enumeration Date:2009-01-25
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA0908110363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA0908110OtherOHIO LICENSE