Healthcare Provider Details

I. General information

NPI: 1285166462
Provider Name (Legal Business Name): CORINNE RENEE MAGILAVY C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORINNE RENEE COLLIER

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 23RD ST
CUYAHOGA FALLS OH
44223-1404
US

IV. Provider business mailing address

3177 OAKWOOD DR
CUYAHOGA FALLS OH
44221-1458
US

V. Phone/Fax

Practice location:
  • Phone: 330-923-9585
  • Fax:
Mailing address:
  • Phone: 614-804-1593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.020732
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: