Healthcare Provider Details

I. General information

NPI: 1386574820
Provider Name (Legal Business Name): NEVAEH MARIE HARVEY STNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 3RD ST NW
CANTON OH
44703-2711
US

IV. Provider business mailing address

921 3RD ST NW
CANTON OH
44703-2711
US

V. Phone/Fax

Practice location:
  • Phone: 330-313-6765
  • Fax: 330-313-6765
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number602676940723
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: