Healthcare Provider Details

I. General information

NPI: 1881024537
Provider Name (Legal Business Name): CHERYL HOLOWECKY R.N. C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2013
Last Update Date: 11/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 CASE RD
NORTH RIDGEVILLE OH
44039-1013
US

IV. Provider business mailing address

5125 CASE RD
NORTH RIDGEVILLE OH
44039-1013
US

V. Phone/Fax

Practice location:
  • Phone: 440-258-8913
  • Fax:
Mailing address:
  • Phone: 440-258-8913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number02259
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number185475
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: