Basic Information
Provider Information
NPI: 1679935902
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARRELL
FirstName: JANELLE
MiddleName:  
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NameSuffix:  
Credential:  
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Mailing Information
Address1: 4749 W MILL RD
Address2:  
City: BROADVIEW HEIGHTS
State: OH
PostalCode: 441472143
CountryCode: US
TelephoneNumber: 4406106463
FaxNumber:  
Practice Location
Address1: 3333 BURNET AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136364200
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/25/2016
LastUpdateDate: 10/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN.CNP.18954OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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