Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA 12075 - NP | OH |
N | 363LW0102X | Nurse Practitioner - Women's Health | 12075-NP | OH |
NPI | 1073783304 |
---|---|
Provider Name | Nancy Scaglione |
First Address | Stow, OH 44224-3619 |
Second Address | Stow, OH 44224-3619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2008 |
Last Update Date | 22/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0089674 | (05) | OH |