Individual provider · Type 1 NPI
Susan Gutlove
Nurse Practitioner · Massillon, OH
Practice location
100 Lillian Gish Blvd SW, Ste 201
Massillon, OH 44647-6500
Fax (330) 809-0560
Mailing address
6046 Whipple Ave NW
North Canton, OH 44720-7616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | COA17988 (OH) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1447627708
Susan Gutlove's National Provider Identifier is 1447627708, issued on Aug 21, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Massillon, OH. The record was last updated on Feb 28, 2020.