| Doctor Name: | GINA LYNN BERARDINELLI |
| NPI Number: | 1003079922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | NP10067 |
| Business Practice Address: | 5915 Landerbrook Dr Suite 120 Mayfield Heights, OH - 441244039 |
| Business Phone Number: | 2163823806 |
| Business Fax Number: | 2163826735 |
| Mailing Address: | 5915 Landerbrook Dr, Suite 120 MAYFIELD HEIGHTS |
| State: | OH |
| Postal Code: | 441244039 |
| Phone Number: | 2163823806 |
| Fax Number: | 2163826735 |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | NP10067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |