Individual provider · Type 1 NPI

Justin John Kaczmarek

Acute Care Nurse Practitioner · Cleveland, OH

NPI number 1235816562 Active

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

4081 W 158th St
Cleveland, OH 44135-1233

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.0034216 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1235816562

Justin John Kaczmarek's National Provider Identifier is 1235816562, issued on Jun 29, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cleveland, OH. The record was last updated on Jun 29, 2023.