MEDICARE: ONE STEP MEDICAL SERVICES, CO.

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1811411424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE STEP MEDICAL SERVICES, CO.

Provider Business Mailing Address
First Line	:	4543 EVERHARD RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718
Country	:	US
Telephone Number	:	330-942-0413
Fax Number	:

Provider Business Practice Location Address
First Line	:	4813 NOLENSVILLE PIKE
Second Line	:	SUITE 206A
City	:	NASHVILLE
State	:	TN
Zip	:	37211
Country	:	US
Telephone Number	:	289-684-8188
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAYLA FENTON
Credential	:
Telephone Number	:	289-684-8188

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/26/2017

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Directions to “ONE STEP MEDICAL SERVICES, CO. ” Practice Location

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