Provider Demographics
NPI:1679711527
Name:ATHEY, PATRICIA ANN
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:ATHEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3899 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NEW WATERFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44445
Mailing Address - Country:US
Mailing Address - Phone:330-457-0152
Mailing Address - Fax:
Practice Address - Street 1:46730 CHURCH STREET
Practice Address - Street 2:APT 20
Practice Address - City:NEW WATERFORD
Practice Address - State:OH
Practice Address - Zip Code:44445
Practice Address - Country:US
Practice Address - Phone:330-457-0152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health