Provider Demographics
NPI:1942273537
Name:BATALO, STEPHANIE (CFNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:BATALO
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964-1949
Mailing Address - Country:US
Mailing Address - Phone:740-537-3860
Mailing Address - Fax:740-537-3890
Practice Address - Street 1:1800 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-1949
Practice Address - Country:US
Practice Address - Phone:740-537-3860
Practice Address - Fax:740-537-3890
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP00850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00610212OtherRR MEDICARE OH
OH2262975Medicaid
OH0379763Medicare PIN
OH2262975Medicaid
S63662Medicare UPIN
OHNP01614Medicare PIN