MEDICARE: PATRICK SUGGETT CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.455749	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0039303	OH

General Provider Information

NPI Number	:	1154123909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK SUGGETT CNP

Provider Business Mailing Address
First Line	:	2417 SMITH KRAMER ST NE
Second Line	:
City	:	HARTVILLE
State	:	OH
Zip	:	44632-9150
Country	:	US
Telephone Number	:	330-620-6087
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 PORTAGE TRAIL
Second Line	:	SUITE B
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-3055
Country	:	US
Telephone Number	:	330-808-1664
Fax Number	:	330-208-0378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	06/16/2026

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