Healthcare Provider Details

I. General information

NPI: 1366546616
Provider Name (Legal Business Name): GIUSTINA M BRECHBILL RN MSN CNS AOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 6TH ST SW CANCER CENTER
CANTON OH
44710
US

IV. Provider business mailing address

2600 6TH ST SW CANCER CENTER
CANTON OH
44710
US

V. Phone/Fax

Practice location:
  • Phone: 330-453-3309
  • Fax: 330-363-7413
Mailing address:
  • Phone: 330-453-3309
  • Fax: 330-363-7413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License NumberRN161441
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: