Healthcare Provider Details

I. General information

NPI: 1437093028
Provider Name (Legal Business Name): SYDNEY JULIA PAPADOPOULOS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 6TH ST SW
CANTON OH
44710-1702
US

IV. Provider business mailing address

2220 AMARILLO ST NW
CANTON OH
44720-6112
US

V. Phone/Fax

Practice location:
  • Phone: 330-363-5433
  • Fax:
Mailing address:
  • Phone: 330-363-5433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number389582
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: