Kelly R Cervenka in Reminderville - Nurse Practitioner
Kelly R Cervenka - NPI 1871587808
Kelly R Cervenka is a Nurse Practitioner in Reminderville, Ohio. Kelly R Cervenka practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly R Cervenka is 1871587808. The last update date is 2013-08-30.
Kelly R Cervenka's current location address is 10275 Clipper Cv, Reminderville, Ohio. You can contact this provider via phone number 3305622630. The mailing address for Kelly R Cervenka is 10275 Clipper Cv, Reminderville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly R Cervenka |
|---|---|
| Address | 10275 Clipper Cv, Reminderville, Ohio |
| Phone Number | 3305622630 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1871587808 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2013-08-30 |
Provider Mailing Address Detail
| Address | 10275 Clipper Cv |
|---|---|
| City | Reminderville |
| State | Ohio (OH) |
| Post Code | 442029042 |
| Phone Number | 3305622630 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | COA.04944-NP |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2343655 | OH | -- |
Post Comment/ Review Below
What is the Kelly R Cervenka's 1871587808?
The Kelly R Cervenka's NPI (National Provider Identifier) Number is 1871587808. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly R Cervenka's facilities are geographically located?
The facilities of Kelly R Cervenka are physically situated at the following location: 10275 Clipper Cv, Reminderville, OH, 442029042.
What is the Kelly R Cervenka's specialty and taxonomy code?
The Kelly R Cervenka's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did Kelly R Cervenka receive its 1871587808 assignment from the Centers for Medicare & Medicaid Services?
The Kelly R Cervenka was assigned its 1871587808 on 2005-09-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly R Cervenka's information last updated?
The Kelly R Cervenka's information was last updated on 2013-08-30.