Provider Demographics
NPI:1326641762
Name:FLINN, AUDREY CARMEL (INDEPENDENT PROVIDER)
Entity Type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:CARMEL
Last Name:FLINN
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:MRS
Other - First Name:AUDREY
Other - Middle Name:CARMEL
Other - Last Name:FLINN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:INDEPENDENT PROVIDER
Mailing Address - Street 1:320 VILLAGE POINTE DR APT D
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7446
Mailing Address - Country:US
Mailing Address - Phone:330-256-7892
Mailing Address - Fax:
Practice Address - Street 1:491 VERNON ODOM BLVD UNIT 221
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2025
Practice Address - Country:US
Practice Address - Phone:330-253-9651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health