MRS. Mary Susan Sander, C.N.P.

NPI #1073503322 in Canton, Ohio

Provider Information

NPI Number: 1073503322
Entity Type: Individual
Name: MRS. Mary Susan Sander, C.N.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: C.N.P.
Enumeration Date: Oct 27, 2005
Last Updated: May 12, 2020

Practice Location

Address: 2726 FULTON DR NW
City: Canton
State: Ohio
ZIP Code: 44718-3506
Phone: (330) 455-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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