Individual provider · Type 1 NPI

Kelly R. Cervenka, CNP

Nurse Practitioner · Cleveland, OH

NPI number 1871587808 Active

Practice location

4229 Pearl Rd
Cleveland, OH 44109-4218

Fax (216) 205-4032

Mailing address

10275 Clipper Cv
Reminderville, OH 44202-9042

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN211663 (OH)
Nurse Practitioner Primary 363L00000XCOA.04944-NP (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 1871587808

Kelly R. Cervenka, CNP's National Provider Identifier is 1871587808, issued on Sep 6, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 30, 2013.