Provider Demographics
NPI:1134946668
Name:CARRINGTON, DAWN MARIE
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE
Last Name:CARRINGTON
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 1:591 OBERMIYER RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44403-9738
Mailing Address - Country:US
Mailing Address - Phone:330-554-1369
Mailing Address - Fax:
Practice Address - Street 1:4134 INDUSTRY RD
Practice Address - Street 2:
Practice Address - City:ROOTSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44272-9543
Practice Address - Country:US
Practice Address - Phone:330-245-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant