Healthcare Provider Details

I. General information

NPI: 1396764775
Provider Name (Legal Business Name): MARIA T WEINBERG APRN.CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

4442 EAGLE PT
NORTH ROYALTON OH
44133-4175
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-6565
  • Fax:
Mailing address:
  • Phone: 440-263-7554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPRN.CNS.07496
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.16258
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: