Healthcare Provider Details

I. General information

NPI: 1902567159
Provider Name (Legal Business Name): DOROTHY MCAVINEW APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 S MAIN ST
AKRON OH
44308-1416
US

IV. Provider business mailing address

137 S MAIN ST
AKRON OH
44308-1416
US

V. Phone/Fax

Practice location:
  • Phone: 330-918-6000
  • Fax: 330-918-6851
Mailing address:
  • Phone: 330-918-6000
  • Fax: 330-918-6851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0030528
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: