Healthcare Provider Details

I. General information

NPI: 1841100849
Provider Name (Legal Business Name): STEPHANIE MIRANDA STROUP MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2473 NORTH RD NE
WARREN OH
44483-3054
US

IV. Provider business mailing address

993 CHAMPION AVE E
WARREN OH
44483-1513
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-2251
  • Fax:
Mailing address:
  • Phone: 330-980-4713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: