Individual
MS. HEATHER TERRICE FRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
3057 CLOVERHURST ST NE, CANTON, OH 44721-2783
(330) 933-7340
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.350456
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0034081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609565035
—
OH
Enumeration date
05/02/2023
Last updated
08/31/2023
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