Individual provider · Type 1 NPI

Mark David Staats, CNP

Nurse Practitioner · Beachwood, OH

NPI number 1912423914 Active

Practice location

3999 Richmond Rd
Beachwood, OH 44122-6046

Fax (216) 593-5800

Mailing address

3186 Wexford Blvd
Stow, OH 44224-2860

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN.CNP.021564 (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 1912423914

Mark David Staats, CNP's National Provider Identifier is 1912423914, issued on Aug 21, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beachwood, OH. The record was last updated on Aug 21, 2017.