Provider Demographics
NPI:1144827254
Name:CANFIELD, CHARMAIN N (APRN FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CHARMAIN
Middle Name:N
Last Name:CANFIELD
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15400 PEARL RD SUITE #238
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136
Mailing Address - Country:US
Mailing Address - Phone:404-651-8284
Mailing Address - Fax:440-515-2383
Practice Address - Street 1:15400 PEARL RD SUITE #238
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136
Practice Address - Country:US
Practice Address - Phone:404-651-8284
Practice Address - Fax:440-515-2383
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027353363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner