Basic Information
| Provider Information | |||||||||
| NPI: | 1588188742 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CODNER | ||||||||
| FirstName: | CATHERINE | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17106 HUNTING MEADOWS DR | ||||||||
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| City: | STRONGSVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441366228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2169781721 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4807 ROCKSIDE RD | ||||||||
| Address2: | |||||||||
| City: | INDEPENDENCE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441312192 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2165200765 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2017 | ||||||||
| LastUpdateDate: | 06/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | APRN.CNP.021112 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.