Healthcare Provider Details

I. General information

NPI: 1306774526
Provider Name (Legal Business Name): BROOKLYNN WEBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 APPLEGROVE ST NW
NORTH CANTON OH
44720-8690
US

IV. Provider business mailing address

805 APPLEGROVE ST NW APT 203
NORTH CANTON OH
44720-8614
US

V. Phone/Fax

Practice location:
  • Phone: 330-323-5732
  • Fax:
Mailing address:
  • Phone: 330-323-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: