Healthcare Provider Details

I. General information

NPI: 1598208829
Provider Name (Legal Business Name): STEPHANIE RENEE SAMBOR NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE RENEE HILL

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8787 BROOKPARK RD
PARMA OH
44129-6809
US

IV. Provider business mailing address

8787 BROOKPARK RD
PARMA OH
44129-6809
US

V. Phone/Fax

Practice location:
  • Phone: 216-739-7000
  • Fax:
Mailing address:
  • Phone: 216-739-7000
  • Fax: 216-229-2597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.371011
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.020078
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: