MOLLY CORLEW (NPI# 1144861857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144861857 |
| Entity Type | Individual |
| Full Name | MOLLY CORLEW |
| Credential | APRN-CNP |
| Practice Address |
250 Debartolo Pl Boardman OH 44512-7004 |
| Mailing Address |
101 Blue Bird Ln Cortland OH 44410-8814 |
| Practice Telephone | 3303149100 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.025263 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 DEBARTOLO PL |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841847563 | Dominic John Deangelo | Physician Assistant | 250 Debartolo Pl, Boardman, OH 44512-7004 | 2019-08-19 |
| 1275773541 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 250 Debartolo Pl, Suite 1615, Boardman, OH 44512-7004 | 2009-02-26 |
| 1972784734 | Living Well Family Practice, Inc. | Family Medicine | 250 Debartolo Pl, Suite 1650, Boardman, OH 44512-7004 | 2007-11-21 |
| 1740474972 | Lifeline Partners, Inc | Physical Therapist | 250 Debartolo Pl, Suite 1535, Boardman, OH 44512-7004 | 2007-08-30 |
| 1942250311 | John Philip Popovec | Internal Medicine | 250 Debartolo Pl, Suite 1620, Boardman, OH 44512-7004 | 2006-05-10 |
| 1174516835 | Anne Mcpherren Stover | Family Medicine | 250 Debartolo Pl, Suite 1650, Boardman, OH 44512-7004 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881153377 | Sabrina Kifer | Nurse Practitioner | 7629 Market St Ste 100, Boardman, OH 44512-6051 | 2019-03-14 |
| 1518446178 | Joey Michelle Annichine | Nurse Practitioner | 1306 Mere Ct, Boardman, OH 44512-3715 | 2018-08-14 |
| 1639565062 | Brenda Schell | Nurse Practitioner | 783 Presidential Dr, Boardman, OH 44512-5714 | 2015-04-13 |
| 1083270987 | Ryan L Scragg | Nurse Practitioner | 7206 Market St Ste A, Boardman, OH 44512-4562 | 2019-05-15 |
| 1255994356 | Cortney Ann Birchak | Nurse Practitioner | 7430 Southern Blvd, Boardman, OH 44512-5629 | 2019-04-15 |
| 1750870333 | Kimberly Ann Szabo | Nurse Practitioner | 8440 Market St, Boardman, OH 44512-6703 | 2018-05-09 |
| 1588168579 | Jill Christine Gulling | Nurse Practitioner | 6505 Market St Bldg A1, Boardman, OH 44512-3457 | 2018-03-22 |
| 1215445507 | Suzanne Cavalier | Nurse Practitioner | 7230 Market St, Boardman, OH 44512-4513 | 2018-01-20 |
| 1972022804 | Francesca Marie Crum | Nurse Practitioner | 8401 Market St, Boardman, OH 44512 | 2017-09-12 |
| 1730536160 | Mary Liakaris | Nurse Practitioner | 960 Windham Ct Ste 1, Boardman, OH 44512-5087 | 2016-05-16 |
| Find all providers in BOARDMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.