Provider Demographics
NPI:1386911758
Name:DAUNOV, KATHERINE ANN (RN MSN ANP)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANN
Last Name:DAUNOV
Suffix:
Gender:F
Credentials:RN MSN ANP
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Other - Last Name:
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Mailing Address - Street 1:3090 YORKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2461
Mailing Address - Country:US
Mailing Address - Phone:507-271-2318
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE # SC1015
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-286-6826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH019406363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health