| Marna Marie Revlock, APRN | |
|
128 Wertz Ave Nw Ste A, Canton, OH 44708-4196 | |
| (330) 936-6863 | |
| Not Available |
| Full Name | Marna Marie Revlock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 128 Wertz Ave Nw Ste A, Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407512304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.0029897 (Ohio) | Primary |
| Entity Name | Northeast Ohio Foot And Ankle Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922527118 PECOS PAC ID: 1557637410 Enrollment ID: O20171019002490 |
| Mailing Address | Practice Location Address |
|---|---|
| Marna Marie Revlock, APRN 2210 University Dr Se, Massillon, OH 44646-7443 Ph: (330) 936-6863 | Marna Marie Revlock, APRN 128 Wertz Ave Nw Ste A, Canton, OH 44708-4196 Ph: (330) 936-6863 |
Mrs. Rachel Elizabeth Starr, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 | |
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 | |
Kathleen Moore, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-588-4676 | |
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-7444 Fax: 330-363-7770 | |
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785 | |
Tayler Rae Schembechler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6076 Whipple Ave Nw, Canton, OH 44720 Phone: 330-305-5001 | |
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911 |