Nawrocki, Colleen M

Nawrocki, Colleen M is an individual health care provider with primary practice located at 36100 Euclid Avenue Suite 210, Willoughby OH 44094. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nawrocki, Colleen M can be contacted via phone (440) 602-6770.

Contact Information

Primary practice address
36100 Euclid Avenue Suite 210 Willoughby OH 44094
Phone: (440) 602-6770
Fax: (440) 975-0208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP - 05325 Ohio

Profile Details

NPI number 1437236460
LBN Legal business name Nawrocki, Colleen M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437236460 NPPES
Ohio MEDICAID 2179119

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