KELLY R CERVENKA CNP - NPI 1871587808 - Nurse Practitioner in Cleveland, OH

Q: What is Kelly Cervenka's NPI number?

The NPI number for Kelly Cervenka is 1871587808. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Q: What is Kelly Cervenka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Cervenka was last updated on August 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly R Cervenka Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY R CERVENKA CNP (NPI 1871587808) is an individual nurse practitioner in Cleveland, Ohio, licensed in Ohio (COA.04944-NP) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1871587808

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY R CERVENKACredential: CNP

Location Address4229 PEARL RDCleveland, OH 44109-4218

Mailing Address10275 Clipper CvReminderville, OH 44202-9042 · (330) 562-2630

Phone(216) 205-4026

Fax(216) 205-4032

Sole ProprietorYes

Enumeration DateSeptember 6, 2005

Last NPPES UpdateAugust 30, 2013

✔ NPI 1871587808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · 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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN211663 (OH)

4229 PEARL RD, Cleveland, OH 44109

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