Healthcare Provider Details

I. General information

NPI: 1487044301
Provider Name (Legal Business Name): ASHLEY WOJNARSKI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1491 SOM CENTER RD
MAYFIELD HEIGHTS OH
44124-2101
US

IV. Provider business mailing address

4765 EDENWOOD RD
CLEVELAND OH
44121-3843
US

V. Phone/Fax

Practice location:
  • Phone: 440-442-1484
  • Fax:
Mailing address:
  • Phone: 216-849-0429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.17038-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: