Gina Lynn Berardinelli
Nurse Practitioner - Adult Health
9485 Mentor Ave Ste 102
Mentor
, Ohio 44060-8722
Gina Lynn Berardinelli
Nurse Practitioner - Adult Health
9485 Mentor Ave Ste 102
Mentor
, Ohio 44060-8722
(440) 266-5505
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Gina Lynn Berardinelli
- 3624 W Market St Ste 101
- Fairlawn, OH
- Zip : 44333-4510
- Fax : (440) 266-5505
- Phone : (440) 266-5500
Second Address
- Gina Lynn Berardinelli
- 9485 Mentor Ave Ste 102
- Mentor, OH
- Zip : 44060-8722
- Fax : (440) 266-5505
- Phone : (440) 266-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | NP10067 | OH |
National Provider Identifier
| NPI | 1003079922 |
|---|---|
| Provider Name | Gina Lynn Berardinelli |
| First Address | Fairlawn, OH 44333-4510 |
| Second Address | Mentor, OH 44060-8722 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2008 |
| Last Update Date | 09/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2851570 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.