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Organization

VI SANO HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER M MASON AGACNP-BC (OWNER)
(330) 692-1641
Entity
Organization

Contact information

Practice address
7556 STATE ROUTE 45 STE B, LISBON, OH 44432-9807
(330) 870-4127
(330) 870-4139
Mailing address
7556 STATE ROUTE 45 STE B, LISBON, OH 44432-9807
(330) 870-4127
(330) 870-4139

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
363L00000X
Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0115037
OH
05
0381705
OH
05
0490525
OH
Enumeration date
06/06/2022
Last updated
07/29/2026
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