1699927384 NPI number — MS. STEPHANIE LOUISE FOX RN, CNP

Table of content: MS. STEPHANIE LOUISE FOX RN, CNP (NPI 1699927384)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699927384 NPI number — MS. STEPHANIE LOUISE FOX RN, CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOX
Provider First Name:
STEPHANIE
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, CNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MAGNO
Provider Other First Name:
STEPHANIE
Provider Other Middle Name:
LOUISE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, CNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1699927384
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
183 HIGH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WADSWORTH
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44281
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-590-0847
Provider Business Mailing Address Fax Number:
330-334-2404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
183 HIGH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WADSWORTH
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-663-8686
Provider Business Practice Location Address Fax Number:
216-663-2153
Provider Enumeration Date:
10/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  RN306697 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: NP10399 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com