Individual
STEPHANIE NIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 438-2750
Mailing address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 438-2750
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.217472
OH
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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