Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Bohland-Fanfulik, APRN, CNP

Individual provider Family Nurse Practitioner · NPI 1205521176

Stephanie Bohland-Fanfulik, APRN, CNP is a Nurse Practitioner in Toledo, Ohio. Qualified in 2022, 4 years ago. Practices with Toledo Clinic Incorporated, a 207-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4235 Secor Rd
Toledo, OH 43623-4299
Phone: (419) 479-5455
Fax: (419) 473-1568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0033438 (OH)

Record details

NPI number1205521176
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedApril 6, 2023
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Toledo Clinic Incorporated — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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