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Individual

CAROLYN LOUISE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP- C

Contact information

Practice address
60 NORTH AVE STE G10, TALLMADGE, OH 44278-2011
(234) 867-6233
Mailing address
1077 GORGE BLVD, AKRON, OH 44310-2408
(234) 312-5691
(234) 312-2322

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024586
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0377761
OH
Enumeration date
04/27/2019
Last updated
10/16/2020
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