Organization · Type 2 NPI
412 Direct Care LLC
Primary Care Nurse Practitioner · Wadsworth, OH
NPI number
1114852647
Active
Practice location
1499 Brentfield Dr
Wadsworth, OH 44281-6204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Registered Nurse | 163W00000X | None listed |
| Phlebology Physician | 202K00000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1114852647
412 Direct Care LLC's National Provider Identifier is 1114852647, issued on Jun 16, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Wadsworth, OH. The record was last updated on Jun 16, 2026.