Healthcare Provider Details

I. General information

NPI: 1669521910
Provider Name (Legal Business Name): PATRICIA KLINK BARTOSIK MSN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 11/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 NORTHLAND DR
MEDINA OH
44256-3441
US

IV. Provider business mailing address

246 NORTHLAND DR
MEDINA OH
44256-3441
US

V. Phone/Fax

Practice location:
  • Phone: 330-725-9195
  • Fax:
Mailing address:
  • Phone: 330-725-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCTP06100
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code364SP0811X
TaxonomyChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCTP06100
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN162346
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberCOA06100NS
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: