Healthcare Provider Details

I. General information

NPI: 1992411912
Provider Name (Legal Business Name): DAWN SUZANNE FRUTH NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 CHERRY ST
TOLEDO OH
43608-2603
US

IV. Provider business mailing address

2222 CHERRY ST STE 1900
TOLEDO OH
43608-2673
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-4336
  • Fax:
Mailing address:
  • Phone: 419-251-3878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN.CNP.0033007
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPRN.CNP.0033007
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: