# DIRECTMED FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871385260
- **Authorized official:** JOSEPH NOLKER FNP-BC (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (330) 219-5330

## Contact information

- **Practice address:** 255 DEHOFF DR, AUSTINTOWN, OH 44515-3910
- **Practice address phone:** (330) 219-5330
- **Mailing address:** 255 DEHOFF DR, AUSTINTOWN, OH 44515-3910
- **Mailing address phone:** (330) 219-5330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2025
- **Last updated:** 05/21/2025