Individual
STEPHANIE ANN DEVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
323 MARION AVE NW, MASSILLON, OH 44646-3639
(330) 837-1111
(330) 837-6118
Mailing address
323 MARION AVE NW, MASSILLON, OH 44646-3639
(330) 837-1111
(330) 837-6118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA16180-NP
OH
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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