Healthcare Provider Details

I. General information

NPI: 1952479099
Provider Name (Legal Business Name): MARIA RIZER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 EASTLAND AVE SE SUITE 301
WARREN OH
44484-4501
US

IV. Provider business mailing address

1044 BELMONT AVE
YOUNGSTOWN OH
44504-1006
US

V. Phone/Fax

Practice location:
  • Phone: 330-841-4046
  • Fax:
Mailing address:
  • Phone: 330-746-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 179090
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.00920
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: