Healthcare Provider Details

I. General information

NPI: 1568307981
Provider Name (Legal Business Name): CHANTEL CHARICE PATTERSON LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 BARWELL ST
AKRON OH
44303-1923
US

IV. Provider business mailing address

503 BARWELL ST
AKRON OH
44303-1923
US

V. Phone/Fax

Practice location:
  • Phone: 330-607-3938
  • Fax:
Mailing address:
  • Phone: 330-607-3938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number187706
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: