Healthcare Provider Details

I. General information

NPI: 1013656065
Provider Name (Legal Business Name): DANIEL JOSEPH KULHANEK III APRN-CNP, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2022
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date: 05/24/2023
Reactivation Date: 06/19/2023

III. Provider practice location address

1400 W PLEASANT VALLEY RD
PARMA OH
44134-6720
US

IV. Provider business mailing address

1400 W PLEASANT VALLEY RD
PARMA OH
44134-6720
US

V. Phone/Fax

Practice location:
  • Phone: 440-334-7173
  • Fax:
Mailing address:
  • Phone: 440-334-7173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN.404026
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN.404026
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: