Provider Demographics
NPI:1235191578
Name:MINARCHECK, KATHERINE SUE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:SUE
Last Name:MINARCHECK
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:SUE
Other - Last Name:YANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-478-0038
Mailing Address - Fax:330-477-1383
Practice Address - Street 1:125 WHIPPLE AVE SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-1374
Practice Address - Country:US
Practice Address - Phone:330-478-0038
Practice Address - Fax:330-477-1383
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.08454-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner