Provider Demographics
NPI:1699927384
Name:FOX, STEPHANIE LOUISE (RN, CNP)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:LOUISE
Last Name:FOX
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:LOUISE
Other - Last Name:MAGNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNP
Mailing Address - Street 1:183 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281
Mailing Address - Country:US
Mailing Address - Phone:330-590-0847
Mailing Address - Fax:330-334-2404
Practice Address - Street 1:183 HIGH STREET
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281
Practice Address - Country:US
Practice Address - Phone:216-663-8686
Practice Address - Fax:216-663-2153
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN306697363LA2200X
OHNP10399363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health