Healthcare Provider Details

I. General information

NPI: 1639627342
Provider Name (Legal Business Name): RENEE MAJOY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2016
Last Update Date: 04/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 ARCH ST
AKRON OH
44304-1429
US

IV. Provider business mailing address

75 ARCH ST
AKRON OH
44304-1429
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.019807
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: