Provider Demographics
NPI:1982066213
Name:MOSNEAG, KATALIN E (CNP)
Entity Type:Individual
Prefix:MRS
First Name:KATALIN
Middle Name:E
Last Name:MOSNEAG
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 W STREETSBORO ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2876
Mailing Address - Country:US
Mailing Address - Phone:330-344-7650
Mailing Address - Fax:330-344-3038
Practice Address - Street 1:82 W STREETSBORO ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2876
Practice Address - Country:US
Practice Address - Phone:330-344-7650
Practice Address - Fax:330-344-3038
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-25
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 18240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily