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NPI Code Detail

MEDICARE: ELIZABETH TRENT APRN

MEDICARE:   ELIZABETH  TRENT  APRN
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.022474OH

General Provider Information

NPI Number : 1265934061
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH TRENT APRN
Provider Business Mailing Address
First Line : 236 3RD ST SW
Second Line :
City : CANTON
State : OH
Zip : 44702-1607
Country : US
Telephone Number : 330-754-4431
Fax Number : 330-244-8839
Provider Business Practice Location Address
First Line : 4580 STEPHENS CIR NW STE 202
Second Line :
City : CANTON
State : OH
Zip : 44718-3645
Country : US
Telephone Number : 330-754-4431
Fax Number : 330-244-8839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2018
Last Update Date : 04/08/2025

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Directions to “ ELIZABETH TRENT APRN” Practice Location

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