Organization · NPI-2

1 Faithwear

Nurse Practitioner, Adult Health · Canton, OH

NPI number1760170567
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1760170567
Entity type
Organization (NPI-2)
Legal business name
1 Faithwear
Organization subpart
No
Enumeration date
Apr 28, 2023
Certification date
Jun 16, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health––Yes

Practice location

2806 Wood Owl St Ne
Canton, OH 44704-2421

Phone 330-412-4632

Mailing address

2806 Wood Owl St Ne
Canton, OH 44704-2421

Phone 330-412-4632

Authorized official

Summer Rose Burns-Allen
Owner
3304124632

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