Healthcare Provider Details

I. General information

NPI: 1669107272
Provider Name (Legal Business Name): HEATHER LEHR STEIDL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1949 W MARKET ST
AKRON OH
44313-6910
US

IV. Provider business mailing address

1949 W MARKET ST
AKRON OH
44313-6910
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-5410
  • Fax:
Mailing address:
  • Phone: 330-867-5410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0031880
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number400378
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: