Provider Demographics
NPI:1205535556
Name:ERWIN, CHARLES M (RN)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:M
Last Name:ERWIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 COTTAGE PL NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44703-1169
Mailing Address - Country:US
Mailing Address - Phone:330-477-0694
Mailing Address - Fax:
Practice Address - Street 1:1331 COTTAGE PL NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44703-1169
Practice Address - Country:US
Practice Address - Phone:330-477-0694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.279827163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice