MICHELLE DEARDUFF (NPI# 1518400431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518400431 |
| Entity Type | Individual |
| Full Name | MICHELLE DEARDUFF |
| Credential | NP |
| Practice Address |
375 N Park Ave Ste 1 Warren OH 44481-1111 |
| Mailing Address |
4804 Parwich Cir Ne Canton OH 44705-3089 |
| Practice Telephone | 3303995104 |
| Mailing Telephone | 3309030291 |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
019972 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
375 N PARK AVE STE 1 |
| City | WARREN |
| State | OH |
| Zip Code | 44481-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447321 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 4941 Enterprise Blvd Nw, Warren, OH 44481 | 2017-10-03 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1669858486 | Team Sanders Inc | Respite Care | 893 Tait Rd, Warren, OH 44481 | 2015-08-04 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1942413497 | Scope Inc | Home Health | 220 West Market Street, Warren, OH 44481 | 2007-05-08 |
| 1972624377 | Warren City Auditor | Public Health or Welfare | 258 E Market St, Warren, OH 44481 | 2007-04-03 |
| 1780703025 | Cythnia Coleman | Social Worker | 150 E. Market Street- Primary Practice Address, Warren, OH 44481 | 2007-03-28 |
| 1083184766 | David F Lachowski | Counselor | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-11-26 |
| 1528576071 | Tina Marie Moore | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-01-18 |
| 1215473392 | June Wells | Counselor | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2017-01-12 |
| Find all providers in zip 44481 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1629695598 | Souzan Siryani | Nurse Practitioner | 31700 Van Dyke Ave Ste A, Warren, MI 48093-7949 | 2020-06-26 |
| 1245856947 | Giavanna M Tkach | Nurse Practitioner | 1695 Niles Cortland Rd Ne Ste 2, Warren, OH 44484-1165 | 2020-06-19 |
| 1306461561 | Stephanie Dawn Ostetrico | Nurse Practitioner | 1454 Grove Ave Nw, Warren, OH 44483-3341 | 2020-06-13 |
| 1457983710 | Lisa Virginia Cameron | Nurse Practitioner | 14103 Lowe Dr, Warren, MI 48088-5735 | 2020-02-05 |
| 1659916955 | Joni Mccoy | Nurse Practitioner | 31110 Saratoga Ave, Warren, MI 48093-1619 | 2019-11-10 |
| 1811450760 | Stephanie Burbick | Nurse Practitioner | 8488 Black Oak Dr Ne, Warren, OH 44484-1615 | 2019-04-08 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1194291682 | Mary E Palumbo | Nurse Practitioner | 2517 Forest Springs Dr Se, Warren, OH 44484-5619 | 2018-10-23 |
| 1548735483 | Stephanie Gialdi | Nurse Practitioner | 8545 Common Rd Ste 200, Warren, MI 48093-6775 | 2018-10-08 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on MICHELLE DEARDUFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.