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NPI Code Detail

MEDICARE: MS. SYLVIA A PAWLIK RN, CNP

MEDICARE:  MS. SYLVIA A PAWLIK  RN, CNP
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 Nurse041-313313IL
2363LA2200XAdult Health Nurse Practitioner0383922-21IL
3363LG0600XGerontology Nurse Practitioner0385925-23IL
4363LP0808XPsychiatric/Mental Health Nurse Practitioner209004949IL
5363L00000XNurse Practitioner209-004949IL

General Provider Information

NPI Number : 1326006537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SYLVIA A PAWLIK RN, CNP
Provider Business Mailing Address
First Line : 1643 NW 136TH AVE BLDG H
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2857
Country : US
Telephone Number : 865-500-1317
Fax Number :
Provider Business Practice Location Address
First Line : 14325 BLACKSTONE AVE
Second Line :
City : DOLTON
State : IL
Zip : 60419-1323
Country : US
Telephone Number : 708-849-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/05/2023

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