Provider Demographics
NPI:1669233425
Name:CIMMENTO, VANESSA MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:MARIE
Last Name:CIMMENTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:VANESSA
Other - Middle Name:MARIE
Other - Last Name:GARLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3393 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2307
Mailing Address - Country:US
Mailing Address - Phone:330-559-1617
Mailing Address - Fax:
Practice Address - Street 1:7529 WARREN SHARON RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:OH
Practice Address - Zip Code:44403-9796
Practice Address - Country:US
Practice Address - Phone:330-979-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.480826163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health