Individual provider · Type 1 NPI

Lisa A. Kodek, CNP

Nurse Practitioner · Garfield Heights, OH

NPI number 1790762466 Active

Practice location

12300 Mccracken Rd
Garfield Heights, OH 44125-2914

Mailing address

PO Box 73327N
Cleveland, OH 44193-1094

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP04700 (OH)

Nurse Practitioner: (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 wit…

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About NPI 1790762466

Lisa A. Kodek, CNP's National Provider Identifier is 1790762466, issued on Dec 23, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Garfield Heights, OH. The record was last updated on Jul 11, 2007.