Provider profile · NPI 1114852647

412 Direct Care Llc

Nurse Practitioner, Primary Care · Wadsworth, OH · NPI 1114852647 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Nurse Practitioner, Primary Care

Enumerated

Jun 16, 2026

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING1499 BRENTFIELD DR Wadsworth, OH 44281-6204412-623-9101
LOCATION1499 BRENTFIELD DR Wadsworth, OH 44281-6204412-623-9101

View on NPPES registry ↗

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