Patricia Susan Adragna, CNS

Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Canton, OH

NPI 1699871996 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1699871996
Entity type
Individual (NPI type 1)
Primary specialty
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
License
RN 146354 (OH)
Practice address
733 Market Ave S
Canton, OH 44702-2165
Phone
(330) 489-4600
Fax
(330) 489-4567
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN 146354OHMDAdult Psychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN 146354 OH Yes

Addresses

Primary practice location

733 Market Ave S
Canton, OH 44702-2165

Mailing address

9560 Pondera St NW
Massillon, OH 44646-9001
Phone (330) 489-4600

Other providers in Canton, OH

All providers in Canton, OH · Adult Psychiatric/Mental Health Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.