Healthcare Provider Details

I. General information

NPI: 1366730418
Provider Name (Legal Business Name): NATHAN JAMES MCCARTNEY CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 07/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N MAIN ST STE 306
AKRON OH
44310-3110
US

IV. Provider business mailing address

444 N MAIN ST STE 306
AKRON OH
44310-3110
US

V. Phone/Fax

Practice location:
  • Phone: 330-379-5048
  • Fax: 330-253-2829
Mailing address:
  • Phone: 330-379-5048
  • Fax: 330-253-2829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberCOA.12437-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: