Provider Demographics
NPI:1033557533
Name:DEPINA-LAW, PATRICIA ANN (RN)
Entity Type:Individual
Prefix:PROF
First Name:PATRICIA
Middle Name:ANN
Last Name:DEPINA-LAW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2392 AUDUBON ROAD
Mailing Address - Street 2:AKRON
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-1008
Mailing Address - Country:US
Mailing Address - Phone:330-618-0838
Mailing Address - Fax:330-836-2437
Practice Address - Street 1:2392 AUDUBON ROAD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1008
Practice Address - Country:US
Practice Address - Phone:330-618-0838
Practice Address - Fax:330-836-2437
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH329831163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse