Healthcare Provider Details

I. General information

NPI: 1831628957
Provider Name (Legal Business Name): BETH ANN MARSHALL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 EAST MARKET STREET SUMMA HEALTH SYSTEM
AKRON OH
44304-4425
US

IV. Provider business mailing address

3506 CHESTNUT HILL DR
MEDINA OH
44256-7460
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3000
  • Fax:
Mailing address:
  • Phone: 330-416-1316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN256986
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRN256986
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: