Healthcare Provider Details

I. General information

NPI: 1275757262
Provider Name (Legal Business Name): DOLORES ANN GARCIA RNCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ
AKRON OH
44308-1063
US

IV. Provider business mailing address

155 WOODSIDE AVE SE
NORTH CANTON OH
44720-3236
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8352
  • Fax: 330-543-3891
Mailing address:
  • Phone: 330-966-8963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN217265
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: