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NPI Code Detail

MEDICARE: MARY JO WOLINSKI

MEDICARE: MARY JO WOLINSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN256725OH
2363LF0000XFamily Nurse PractitionerCOA.15851-NPOH

General Provider Information

NPI Number : 1174948483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY JO WOLINSKI
Provider Business Mailing Address
First Line : 948 HAMPTON DR
Second Line :
City : MACEDONIA
State : OH
Zip : 44056-1952
Country : US
Telephone Number : 330-467-8544
Fax Number :
Provider Business Practice Location Address
First Line : 8819 COMMONS BLVD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-4101
Country : US
Telephone Number : 330-425-2212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2014
Last Update Date : 01/15/2021

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