Individual
MICHELLE RENEE STANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1330 MERCY DR NW, CANTON, OH 44708-2626
(330) 489-1000
Mailing address
1330 MERCY DR NW, CANTON, OH 44708-2626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0035779
OH
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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