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NPI Code Detail

MEDICARE: ROBYN J MIKLOVICH CNP

MEDICARE: ROBYN J MIKLOVICH 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
1363LP0200XPediatric Nurse Practitioner0249-NPOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00412507OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000526145OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000221287OTHEROHUNISON
47051573OTHEROHAETNA

General Provider Information

NPI Number : 1871513762
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN J MIKLOVICH CNP
Provider Business Mailing Address
First Line : 1800 LIVINGSTON AVE
Second Line :
City : LORAIN
State : OH
Zip : 44052-3781
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-245-1218
Provider Business Practice Location Address
First Line : 1800 LIVINGSTON AVE
Second Line :
City : LORAIN
State : OH
Zip : 44052-3781
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-245-1218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 01/04/2012

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