Doctor Name: | BETH CANFIELD |
NPI Number: | 1518387257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNS-BC |
License Number: | 2012001316 |
Business Practice Address: | 6721 Idlelawn Ave Nw Canal Fulton, OH - 446149420 |
Business Phone Number: | 3308543818 |
Business Fax Number: | |
Mailing Address: | 6721 Idlelawn Ave Nw, CANAL FULTON |
State: | OH |
Postal Code: | 446149420 |
Phone Number: | 3308543818 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 2012001316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |