Healthcare Provider Details

I. General information

NPI: 1174177851
Provider Name (Legal Business Name): SARA M TOKIE APRN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 WHIPPLE AVE NW
NORTH CANTON OH
44720-7617
US

IV. Provider business mailing address

6101 WHIPPLE AVE NW
CANTON OH
44720-7617
US

V. Phone/Fax

Practice location:
  • Phone: 330-537-8114
  • Fax: 330-537-8063
Mailing address:
  • Phone: 330-537-8114
  • Fax: 330-537-8063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number024635
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: