Jennifer R. Mizak
Nurse Practitioner - Pediatrics
15201 Euclid Ave
East Cleveland
, Ohio 44112-2803
Jennifer R. Mizak
Nurse Practitioner - Pediatrics
15201 Euclid Ave
East Cleveland
, Ohio 44112-2803
(216) 541-5600
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jennifer R. Mizak
- 15201 Euclid Ave
- East Cleveland, OH
- Zip : 44112-2803
- Phone : (216) 541-5600
Second Address
- Jennifer R. Mizak
- 15201 Euclid Ave
- East Cleveland, OH
- Zip : 44112-2803
- Phone : (216) 541-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN173074 | OH |
National Provider Identifier
| NPI | 1033208186 |
|---|---|
| Provider Name | Jennifer R. Mizak |
| First Address | East Cleveland, OH 44112-2803 |
| Second Address | East Cleveland, OH 44112-2803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 20/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2135373 | (05) | OH |
| P69215 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.