Healthcare Provider Details

I. General information

NPI: 1578543757
Provider Name (Legal Business Name): CHERYL LYNN MAINS RN FIRST ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST STE. G-55
AKRON OH
44304-1437
US

IV. Provider business mailing address

2921 LAUREL WOODS BLVD
STOW OH
44224-5122
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-6660
  • Fax: 330-375-7066
Mailing address:
  • Phone: 330-678-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number173635
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: