Healthcare Provider Details

I. General information

NPI: 1750870333
Provider Name (Legal Business Name): KIMBERLY ANN SZABO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 E MARKET ST
WARREN OH
44483-6644
US

IV. Provider business mailing address

3941 ELMWOOD AVE
YOUNGSTOWN OH
44515-3152
US

V. Phone/Fax

Practice location:
  • Phone: 330-965-9999
  • Fax: 330-757-0000
Mailing address:
  • Phone: 330-402-5901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.022237
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.022237
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: