Healthcare Provider Details

I. General information

NPI: 1699454322
Provider Name (Legal Business Name): ADRIANE LANE POSTLETHWAIT APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST STE 165
AKRON OH
44304-1488
US

IV. Provider business mailing address

3087 STANLEY RD
FAIRLAWN OH
44333-3248
US

V. Phone/Fax

Practice location:
  • Phone: 330-374-1255
  • Fax:
Mailing address:
  • Phone: 330-697-8178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.0034278
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: