Healthcare Provider Details

I. General information

NPI: 1427008200
Provider Name (Legal Business Name): GERIATRIC NURSE PRACTITIONERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 05/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 SPRINGSIDE DR SUITE 201
AKRON OH
44333-4530
US

IV. Provider business mailing address

231 SPRINGSIDE DR SUITE 201
AKRON OH
44333-4530
US

V. Phone/Fax

Practice location:
  • Phone: 330-666-9544
  • Fax: 330-670-8569
Mailing address:
  • Phone: 330-666-9544
  • Fax: 330-670-8569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY J MORLEY
Title or Position: CEO
Credential: M.D.
Phone: 330-666-9544