Healthcare Provider Details

I. General information

NPI: 1396197414
Provider Name (Legal Business Name): AIMEE ELIZABETH SAVAGE NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE ELIZABETH IFFT CNP

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 COLUMBIA RD
WESTLAKE OH
44145-1493
US

IV. Provider business mailing address

1842 E MARKET ST
WARREN OH
44483-6638
US

V. Phone/Fax

Practice location:
  • Phone: 440-835-3883
  • Fax:
Mailing address:
  • Phone: 330-856-7212
  • Fax: 330-856-6101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number019441
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: