Redfearn, Michelle Marie

Redfearn, Michelle Marie is an individual health care provider with primary practice located at 11801 Buckeye Rd , Cleveland OH 44120-2620. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Redfearn, Michelle Marie can be contacted via phone (216) 831-2255.

Contact Information

Primary practice address
11801 Buckeye Rd Cleveland OH 44120-2620
Phone: (216) 831-2255
Fax: (216) 378-3906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN.351695 Ohio

Profile Details

NPI number 1881936508
LBN Legal business name Redfearn, Michelle Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Mar 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881936508 NPPES
Ohio MEDICAID 2871101

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