Healthcare Provider Details

I. General information

NPI: 1972639409
Provider Name (Legal Business Name): STEPHANIE M. BAGLIA MSN, APRN, WHNP-BC,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4151 HOLIDAY ST NW
CANTON OH
44718-2531
US

IV. Provider business mailing address

664 EVERHARD RD SW
NORTH CANTON OH
44709-1081
US

V. Phone/Fax

Practice location:
  • Phone: 330-649-4203
  • Fax:
Mailing address:
  • Phone: 330-224-1839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberLE-00063020
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: