Healthcare Provider Details

I. General information

NPI: 1093247017
Provider Name (Legal Business Name): CARRIE SCHLABACH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 05/14/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4907A DALBEY LN
BERLIN OH
44610
US

IV. Provider business mailing address

PO BOX 366
BERLIN OH
44610
US

V. Phone/Fax

Practice location:
  • Phone: 330-893-2341
  • Fax: 330-893-3027
Mailing address:
  • Phone: 330-893-2341
  • Fax: 330-893-3770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.024460
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024174024
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: