Provider Demographics
NPI:1285687368
Name:HUNKUS, CATHERINE M (CRNA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:HUNKUS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 LAUREL HILLS LN
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-7620
Mailing Address - Country:US
Mailing Address - Phone:330-533-9342
Mailing Address - Fax:
Practice Address - Street 1:7525 CALIFORNIA AVE
Practice Address - Street 2:SURGERY CENTER AT SOUTHWOODS
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5623
Practice Address - Country:US
Practice Address - Phone:330-758-1954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN163165367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0748276Medicaid
OHHU8229283Medicare ID - Type Unspecified