Individual
MS. STEFANIE MARIE SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
(330) 471-5937
Mailing address
PO BOX 932100, CLEVELAND, OH 44193-0008
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN251257/ NP05095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342106
ANTHEM
OH
05
—
2525753
—
OH
05
—
2544616
—
OH
01
—
501710
ANTHEM/BCBS
—
01
—
P00185489
RAILROAD
OH
01
—
P00379956
RAILROAD
—
Enumeration date
11/02/2006
Last updated
03/30/2015
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