Provider Demographics
NPI:1750890828
Name:HANES, CATHY ANN (RN)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:HANES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 9TH ST
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-1034
Mailing Address - Country:US
Mailing Address - Phone:330-301-3672
Mailing Address - Fax:
Practice Address - Street 1:447 9TH ST
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1034
Practice Address - Country:US
Practice Address - Phone:330-301-3672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN358571163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse