Individual
DONNA FALL BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RNC, NNP
Contact information
Practice address
2600 6TH STREET, CANTON, OH 44710
(330) 430-7435
Mailing address
P.O. BOX 6591, CANTON, OH 44706
(216) 219-1500
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
NP-06990
OH
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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