Healthcare Provider Details

I. General information

NPI: 1316375215
Provider Name (Legal Business Name): MARY MEGHAN FOLINO HYLTON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY MEGHAN FOLINO

II. Dates (important events)

Enumeration Date: 10/31/2013
Last Update Date: 10/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 HUDSON DR STE 301
HUDSON OH
44236
US

IV. Provider business mailing address

5655 HUDSON DR STE 301
HUDSON OH
44236-4454
US

V. Phone/Fax

Practice location:
  • Phone: 330-653-3376
  • Fax: 440-653-3378
Mailing address:
  • Phone: 330-653-3376
  • Fax: 440-653-3378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-14398
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: