Provider Demographics
NPI:1396349627
Name:DUNCAN, CATHY
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:DUNCAN
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 1:5109 CARDINAL CT
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1494
Mailing Address - Country:US
Mailing Address - Phone:440-670-5091
Mailing Address - Fax:
Practice Address - Street 1:477 ROCK CREEK RUN
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1238
Practice Address - Country:US
Practice Address - Phone:440-985-1194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker