Mary Kathleen Andreano, RN
Individual provider Active NPI Registered Nurse · Parma, OH
NPI 1780186932 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1780186932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN214430 (OH)
- Practice address
- 9400 Oakdale Rd
Parma, OH 44129-2446 - Phone
- (216) 408-5692
- NPI assigned
- Mar 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN214430 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN214430 | OH | Yes |
Addresses
Primary practice location
9400 Oakdale Rd
Parma, OH 44129-2446
Mailing address
9400 Oakdale Rd
Parma, OH 44129-2446
Phone (216) 408-5692
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.