Staab, Wanda L

Staab, Wanda L is an individual health care provider with primary practice located at 95 Arch St , Akron OH 44304-1437. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Staab, Wanda L can be contacted via phone (330) 376-7000.

Contact Information

Primary practice address
95 Arch St Akron OH 44304-1437
Phone: (330) 376-7000
Fax: (330) 376-1066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X NP06552 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP06552 Ohio

Profile Details

NPI number 1366461964
LBN Legal business name Staab, Wanda L
Credentials CNP CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 11th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366461964 NPPES
Ohio MEDICAID 2599568

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