Healthcare Provider Details

I. General information

NPI: 1356679781
Provider Name (Legal Business Name): DEBORAH LYNN WOJNARSKI CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2249 ELM RD NE
CORTLAND OH
44410-9333
US

IV. Provider business mailing address

2249 ELM RD NE
CORTLAND OH
44410-9333
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-1608
  • Fax: 330-372-1638
Mailing address:
  • Phone: 330-372-1608
  • Fax: 330-372-1638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP-08557
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: