Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY CANONICO, PMHNP-BC
ActiveMARY CANONICO, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BEREA, Ohio. NPI 1811465594 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BEREA, OH
Registration Details
- NPI Number
- 1811465594
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2018 (7.7301613597979 yrs)
- Last Updated
- Jan 30, 2019
- License
-
023823 (OH)
Practice Information
- Address
-
202 E BAGLEY RDBEREA, OH, 440172058Browse OH providers · Browse ZIP 44017
- Phone
- 2162966845
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in BEREA, OH
| Name | Credential | NPI |
|---|---|---|
| SELAH WESTFALL | APRN, PMHNP-BC | 1396247938 |
| NICOLETTE MULLINAX | — | 1528878477 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.