Provider Demographics
NPI:1447218375
Name:SYMPSON, GAYE (DNP,CNM)
Entity type:Individual
Prefix:
First Name:GAYE
Middle Name:
Last Name:SYMPSON
Suffix:
Gender:F
Credentials:DNP,CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4139 BOARDMAN CANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9034
Mailing Address - Country:US
Mailing Address - Phone:330-702-1281
Mailing Address - Fax:330-702-1287
Practice Address - Street 1:4139 BOARDMAN CANFIELD RD
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9034
Practice Address - Country:US
Practice Address - Phone:330-702-1281
Practice Address - Fax:330-702-1287
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNM02341176B00000X
OHRN151401363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2028924Medicaid
OHNM00771Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
OH2028924Medicaid