Individual provider · Type 1 NPI

Marybeth Kathleen Hannum, APRN-PC

Nurse Practitioner · North Canton, OH

NPI number 1720640089 Active

Practice location

6076 Whipple Ave NW
North Canton, OH 44720-7616

Fax (330) 305-5001

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X.025045 (OH)
Nurse Practitioner Primary 363L00000X.025045 (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 1720640089

Marybeth Kathleen Hannum, APRN-PC's National Provider Identifier is 1720640089, issued on Jul 7, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Canton, OH. The record was last updated on Feb 23, 2021.