Individual
LORI ANN MARIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS
Contact information
Practice address
6100 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7618
(330) 244-8118
(330) 244-8329
Mailing address
6100 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7618
(330) 244-8118
(330) 244-8329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
259463
OH
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
11388-NS
OH
Other
Enumeration date
02/03/2011
Last updated
02/12/2018
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