Healthcare Provider Details

I. General information

NPI: 1316759699
Provider Name (Legal Business Name): MARIA TEODOSIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 ARCH ST STE 3A
AKRON OH
44304-1447
US

IV. Provider business mailing address

4191 CHEVAL CIR
STOW OH
44224-5230
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0038255
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: