Individual provider · Type 1 NPI

Kristina Petkovic, C.N.P.

Nurse Practitioner · Ashtabula, OH

NPI number 1942857404 Active

Practice location

2141 Lake Ave
Ashtabula, OH 44004-3435

Fax (440) 755-8010

Mailing address

2000 Auburn Dr., Ste. 350
Beachwood, OH 44122-4327

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XCNP.024404 (OH)
Nurse Practitioner Primary 363L00000XRN.339687 (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 1942857404

Kristina Petkovic, C.N.P.'s National Provider Identifier is 1942857404, issued on Aug 20, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ashtabula, OH. The record was last updated on Oct 20, 2025.