Provider Demographics
NPI:1427305036
Name:NEDDO, DEVIN (ARNP)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:NEDDO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 WALES AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-2393
Mailing Address - Country:US
Mailing Address - Phone:330-834-1111
Mailing Address - Fax:
Practice Address - Street 1:2021 WALES AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2393
Practice Address - Country:US
Practice Address - Phone:330-834-3149
Practice Address - Fax:330-834-3136
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033164363L00000X, 363LF0000X
FL9277514363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily