MS. RENATA MARIE KADLCEK MSN CPNP-PC FNP-BC NPI 1972888956

NPI Information

NPI: 1972888956
Provider Name: MS. RENATA MARIE KADLCEK, MSN, CPNP-PC, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3675 CLAGUE RD UNIT 418
NORTH OLMSTED, OH
ZIP 44070
Phone: (216) 339-0075
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MS. Renata Marie Kadlcek, MSN, CPNP-PC, FNP-BC is a family nurse practitioner in North Olmsted, OH. MS. Renata Marie Kadlcek, MSN, CPNP-PC, FNP-BC NPI is 1972888956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3675 CLAGUE RD UNIT 418
NORTH OLMSTED, OH
ZIP 44070-655
Phone: (216) 339-0075

The NPI 1972888956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 1/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN.CNP.12390	OHIO	Yes
2	363LF0000X	Nurse Practitioner	Family	APRN-1789	HAWAII	No
3	363LF0000X	Nurse Practitioner	Family	201502503NP-PP	OREGON	No
4	363LP0200X	Nurse Practitioner	Pediatrics	APRN-1789	HAWAII	No
5	363LP0200X	Nurse Practitioner	Pediatrics	APRN.CNP.12390	OHIO	No
6	363LP2300X	Nurse Practitioner	Primary Care	APRN.CNP.12390	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0074597	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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