Healthcare Provider Details

I. General information

NPI: 1356256044
Provider Name (Legal Business Name): CARRIE ANNE MALINAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 SHERRICK RD SE
CANTON OH
44707-3531
US

IV. Provider business mailing address

4831 ALABAMA AVE NW
NORTH LAWRENCE OH
44666-9765
US

V. Phone/Fax

Practice location:
  • Phone: 330-453-2782
  • Fax:
Mailing address:
  • Phone: 330-265-6049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.396746
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: