Healthcare Provider Details

I. General information

NPI: 1417134313
Provider Name (Legal Business Name): DONNA R LAUGHLIN CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA R HARRISON

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 BAKER BLVD.
AKRON OH
44333-3601
US

IV. Provider business mailing address

63 BAKER BLVD.
AKRON OH
44333-3601
US

V. Phone/Fax

Practice location:
  • Phone: 330-864-6331
  • Fax: 330-572-0639
Mailing address:
  • Phone: 330-864-6331
  • Fax: 330-572-0639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberNS-09729
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: