Healthcare Provider Details

I. General information

NPI: 1124944681
Provider Name (Legal Business Name): MARTINA ANNALEIGH SMEARMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY PLZ
YOUNGSTOWN OH
44555-0002
US

IV. Provider business mailing address

1584 GATE HOUSE ST NE
CANTON OH
44721-4106
US

V. Phone/Fax

Practice location:
  • Phone: 877-468-6978
  • Fax: 877-468-6978
Mailing address:
  • Phone: 740-381-5289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.CNP.0042547
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: