Individual
MS. MARTHA ROSE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN ACNPC-AG
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1799
(330) 363-6888
Mailing address
13720 HACKETT RD, APPLE CREEK, OH 44606-9720
(330) 317-6263
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.316088
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.026242
OH
Other
Enumeration date
11/20/2019
Last updated
01/30/2020
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