Healthcare Provider Details

I. General information

NPI: 1083920060
Provider Name (Legal Business Name): LEEANN ELIZABETH HRITZ ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 S CLEVELAND MASSILLON RD
NORTON OH
44203-5611
US

IV. Provider business mailing address

3939 S CLEVELAND MASSILLON RD
NORTON OH
44203-5611
US

V. Phone/Fax

Practice location:
  • Phone: 330-753-6643
  • Fax:
Mailing address:
  • Phone: 330-753-6643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA11686-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: