Healthcare Provider Details

I. General information

NPI: 1427907484
Provider Name (Legal Business Name): KATE PAULIC APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 SOM CENTER RD
WILLOUGHBY HILLS OH
44094-9607
US

IV. Provider business mailing address

1887 RUSH RD
WICKLIFFE OH
44092-1170
US

V. Phone/Fax

Practice location:
  • Phone: 440-943-2500
  • Fax:
Mailing address:
  • Phone: 440-954-2551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037587
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: