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NPI Code Detail

MEDICARE: MS. BEVERLY E SAFFELS AGNP

MEDICARE:  MS. BEVERLY E SAFFELS  AGNP
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
1363LG0600XGerontology Nurse PractitionerAPRN.CNP.019885OH
2363LA2200XAdult Health Nurse PractitionerAPRN.CNP.019885OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APRN.CNP.019885OTHEROHAPRN

General Provider Information

NPI Number : 1740731363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BEVERLY E SAFFELS AGNP
Provider Business Mailing Address
First Line : 95 ARCH ST STE 300
Second Line :
City : AKRON
State : OH
Zip : 44304-1473
Country : US
Telephone Number : 330-253-8195
Fax Number : 330-253-0853
Provider Business Practice Location Address
First Line : 4235 TUSCARAWAS ST W
Second Line :
City : CANTON
State : OH
Zip : 44708-5424
Country : US
Telephone Number : 234-203-4232
Fax Number : 330-266-4386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2016
Last Update Date : 06/19/2026

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