Provider Demographics
NPI:1831629534
Name:CORVIN, CATHERINE SUE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SUE
Last Name:CORVIN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:SUE
Other - Last Name:REEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6255 CHAMBERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3858
Mailing Address - Country:US
Mailing Address - Phone:937-963-9505
Mailing Address - Fax:937-412-2294
Practice Address - Street 1:6255 CHAMBERSBURG RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3858
Practice Address - Country:US
Practice Address - Phone:937-963-9505
Practice Address - Fax:937-412-2294
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.362731163W00000X
OHAPRN.CNP.021016363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health