Basic Information
Provider Information
NPI: 1407470495
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GATTE
FirstName: STEVEN
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: APRN-CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4269 PEARL RD
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441094234
CountryCode: US
TelephoneNumber: 3307271345
FaxNumber:  
Practice Location
Address1: 4269 PEARL RD
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441094234
CountryCode: US
TelephoneNumber: 2164314131
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/04/2020
LastUpdateDate: 06/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAPRN.CNP.0026816OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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