Individual provider · Type 1 NPI
Mariah Fornataro
Critical Care Medicine Nurse Practitioner · Canton, OH
NPI number
1730822545
Active
Practice location
1320 Mercy Dr NW
Canton, OH 44708-2614
Mailing address
5151 Camp Rd
Ravenna, OH 44266-9394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | PENDING (OH) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1730822545
Mariah Fornataro's National Provider Identifier is 1730822545, issued on Apr 19, 2022. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Canton, OH. The record was last updated on Apr 19, 2022.