MS. STEFANIE MARIE SPICER CNP NPI 1972682912

NPI Information

NPI: 1972682912
Provider Name: MS. STEFANIE MARIE SPICER, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1320 MERCY DR NW
CANTON, OH
ZIP 44708
Phone: (330) 489-1000
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MS. Stefanie Marie Spicer, CNP is an adult health nurse practitioner in Canton, OH. MS. Stefanie Marie Spicer, CNP NPI is 1972682912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1320 MERCY DR NW
CANTON, OH
ZIP 44708-614
Phone: (330) 489-1000
Fax: (330) 471-5937

The NPI 1972682912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 3/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN251257/ NP05095	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00379956	OTHER		RAILROAD
2	000000342106	OTHER	OHIO	ANTHEM
3	P00185489	OTHER	OHIO	RAILROAD
4	Q18748	MEDICARE UPIN	OHIO
5	2525753	MEDICAID	OHIO
6	501710	OTHER		ANTHEM/BCBS
7	H457500	MEDICARE PIN	OHIO
8	2544616	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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