Healthcare Provider Details

I. General information

NPI: 1902634876
Provider Name (Legal Business Name): HANNAH LEIGH CANTRILL MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 BELMONT AVE
YOUNGSTOWN OH
44504-1006
US

IV. Provider business mailing address

12009 STATE ROUTE 44
MANTUA OH
44255-9610
US

V. Phone/Fax

Practice location:
  • Phone: 330-480-3444
  • Fax:
Mailing address:
  • Phone: 419-602-3669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.0021518
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: