Dianne Marie Despetorich, CPNP-PC | |
8401 Market St, Boardman, OH 44512-6725 | |
(330) 729-4300 | |
(330) 729-4349 |
Full Name | Dianne Marie Despetorich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 8401 Market St, Boardman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518444678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.023206 (Ohio) | Primary |
Entity Name | Mercy Health Physicians Youngstown, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
---|---|
Dianne Marie Despetorich, CPNP-PC 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 729-4300 | Dianne Marie Despetorich, CPNP-PC 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 729-4300 |
Lori L Leipheimer, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8261 Market St, Boardman, OH 44512 Phone: 330-286-0050 | |
Amanda Rae Caputo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 Windham Ct Ste 6a, Boardman, OH 44512 Phone: 330-259-0440 | |
Richelle D Shipman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-0909 Fax: 330-965-0897 | |
Nikki Moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Trailwood Dr, Boardman, OH 44512 Phone: 234-287-6544 Fax: 330-259-9721 | |
Elizabeth Grace Carrier, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 | |
Ryan L Scragg, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7206 Market St Ste A, Boardman, OH 44512 Phone: 330-726-3379 Fax: 330-726-8683 | |
Mrs. Regina M O'leary, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-480-2363 Fax: 330-480-6359 |