Provider Demographics
NPI:1598569170
Name:RANEY, STEPHANIE LYNN
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LYNN
Last Name:RANEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 W PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44677-9730
Mailing Address - Country:US
Mailing Address - Phone:330-464-1794
Mailing Address - Fax:
Practice Address - Street 1:278 W PROSPECT ST
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:OH
Practice Address - Zip Code:44677-9730
Practice Address - Country:US
Practice Address - Phone:330-464-1794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant