Healthcare Provider Details

I. General information

NPI: 1942273537
Provider Name (Legal Business Name): STEPHANIE BATALO CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 FRANKLIN ST
TORONTO OH
43964-1949
US

IV. Provider business mailing address

1800 FRANKLIN ST
TORONTO OH
43964-1949
US

V. Phone/Fax

Practice location:
  • Phone: 740-537-3860
  • Fax: 740-537-3890
Mailing address:
  • Phone: 740-537-3860
  • Fax: 740-537-3890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP00850
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: