Healthcare Provider Details

I. General information

NPI: 1598254484
Provider Name (Legal Business Name): KRISTINA VALENTIC MSN, CNP, CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13207 RAVENNA RD
CHARDON OH
44024-7032
US

IV. Provider business mailing address

12260 RESERVE LN
CHESTERLAND OH
44026-2111
US

V. Phone/Fax

Practice location:
  • Phone: 440-285-6000
  • Fax:
Mailing address:
  • Phone: 440-231-3691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.401299
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.0033069
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN.401299
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: