MEDICARE: NANCY BEGLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1215660980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY BEGLY

Provider Business Mailing Address
First Line	:	29201 AURORA RD STE 400
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-1846
Country	:	US
Telephone Number	:	877-636-3777
Fax Number	:

Provider Business Practice Location Address
First Line	:	780 ANDERSON AVE APT 12
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-3153
Country	:	US
Telephone Number	:	330-834-6047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2022
Last Update Date	:	07/08/2022

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Directions to “ NANCY BEGLY ” Practice Location

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