Provider Demographics
NPI:1255023834
Name:SALVINO, EMILY (APRN-CNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SALVINO
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:EHRENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1303 W MAPLE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-2858
Mailing Address - Country:US
Mailing Address - Phone:330-574-9134
Mailing Address - Fax:330-662-3142
Practice Address - Street 1:1303 W MAPLE ST STE 102
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-2858
Practice Address - Country:US
Practice Address - Phone:330-574-9134
Practice Address - Fax:330-662-3142
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033568363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0032941Medicaid