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NPI Code Detail

MEDICARE: BERNADETTE KNEZ CNP

MEDICARE:   BERNADETTE  KNEZ  CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner09353OH

General Provider Information

NPI Number : 1689792541
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNADETTE KNEZ CNP
Provider Business Mailing Address
First Line : 36687 S LAKE SHORE BLVD
Second Line :
City : EASTLAKE
State : OH
Zip : 44095-1345
Country : US
Telephone Number : 440-346-6004
Fax Number :
Provider Business Practice Location Address
First Line : 1795 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3112
Country : US
Telephone Number : 216-619-5571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/25/2014

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Directions to “ BERNADETTE KNEZ CNP” Practice Location

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