Healthcare Provider Details

I. General information

NPI: 1437818945
Provider Name (Legal Business Name): NAOMI HOUSE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2021
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

5181 ATTERBURY LN
STOW OH
44224-6033
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-6640
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0040385
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: