Healthcare Provider Details

I. General information

NPI: 1467389551
Provider Name (Legal Business Name): AMY MARIE BANFIELD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1531 S CLEVELAND MASSILLON RD
COPLEY OH
44321-1907
US

IV. Provider business mailing address

1531 S CLEVELAND MASSILLON RD
COPLEY OH
44321-1907
US

V. Phone/Fax

Practice location:
  • Phone: 330-664-4990
  • Fax:
Mailing address:
  • Phone: 330-664-4912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.304320
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: