Stacey Wasem, APRN

Gerontology Nurse Practitioner · Canton, OH

Individual Active NPI

NPI number 1831724640

Practice location

236 3rd St SW
Canton, OH 44702-1607
Phone
(330) 754-4431
Fax
(330) 244-8839

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NPI record

NPI
1831724640
Entity type
Individual (Type 1)
Enumeration date
March 12, 2020
Last updated
April 8, 2025
Certified
April 8, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gerontology Nurse Practitioner Primary 363LG0600X APRN.CNP.026483 OH

About Stacey Wasem

Stacey Wasem, APRN is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 236 3rd St SW, Canton, OH 44702-1607. The NPI number 1831724640 was assigned on March 12, 2020 and the record was last updated on April 8, 2025.

Stacey Wasem lists a license in the registry: #APRN.CNP.026483 (OH) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacey Wasem, APRN?

The NPI number is 1831724640.

What is the phone number of Stacey Wasem?

The phone number listed for the practice location is (330) 754-4431.

Where is Stacey Wasem located?

236 3rd St SW, Canton, OH 44702-1607.

What is the taxonomy code for Stacey Wasem?

The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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