Healthcare Provider Details

I. General information

NPI: 1790038107
Provider Name (Legal Business Name): CATHERINE FLORENCE MCGOUGH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 S HAWKINS AVE
AKRON OH
44320-3416
US

IV. Provider business mailing address

1493 S HAWKINS AVE
AKRON OH
44320-3416
US

V. Phone/Fax

Practice location:
  • Phone: 330-865-5333
  • Fax:
Mailing address:
  • Phone: 330-865-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9266408
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.026665
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.319288
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: