Healthcare Provider Details

I. General information

NPI: 1003738337
Provider Name (Legal Business Name): KRISTEN BUJAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 KIRBY LN
STREETSBORO OH
44241-1725
US

IV. Provider business mailing address

9000 KIRBY LN
STREETSBORO OH
44241-1725
US

V. Phone/Fax

Practice location:
  • Phone: 330-618-4502
  • Fax:
Mailing address:
  • Phone: 330-618-4502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.306420
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: