MEDICARE: MRS. KATALIN E MOSNEAG CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	COA 18240	OH

General Provider Information

NPI Number	:	1982066213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATALIN E MOSNEAG CNP

Provider Business Mailing Address
First Line	:	82 W STREETSBORO ST
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-2876
Country	:	US
Telephone Number	:	330-344-7650
Fax Number	:	330-344-3038

Provider Business Practice Location Address
First Line	:	82 W STREETSBORO ST
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-2876
Country	:	US
Telephone Number	:	330-344-7650
Fax Number	:	330-344-3038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2016
Last Update Date	:	12/06/2016

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