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Individual

WANDA L STAAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP CNS

Contact information

Practice address
95 ARCH ST, AKRON, OH 44304-1437
(330) 376-7000
(330) 376-1066
Mailing address
95 ARCH ST, AKRON, OH 44304-1437
(330) 376-7000
(330) 376-1066

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP06552
OH
364SA2200X
Adult Health Clinical Nurse Specialist
NP06552
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2599568
OH
Enumeration date
07/18/2006
Last updated
04/11/2011
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