Healthcare Provider Details

I. General information

NPI: 1407345051
Provider Name (Legal Business Name): TRACY ANNE LINTNER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRACY ANNE LINTNER CNP

II. Dates (important events)

Enumeration Date: 05/08/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6046 WHIPPLE AVE NW
NORTH CANTON OH
44720-7616
US

IV. Provider business mailing address

6046 WHIPPLE AVE NW
NORTH CANTON OH
44720-7616
US

V. Phone/Fax

Practice location:
  • Phone: 330-433-1200
  • Fax: 330-433-1666
Mailing address:
  • Phone: 330-433-1200
  • Fax: 330-433-1666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberAPRN.CNP.0041143
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: