Doctor Name: | CHRISTINE MARIE MIKLOSOVIC |
NPI Number: | 1033354469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,BSN |
License Number: | RN-229049 |
Business Practice Address: | 6910 Velma Ave Parma, OH - 441291460 |
Business Phone Number: | 2163161011 |
Business Fax Number: | |
Mailing Address: | 6910 Velma Ave, PARMA |
State: | OH |
Postal Code: | 441291460 |
Phone Number: | 2163161011 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2008 |
NPI Last Update Date: | 12/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | RN-229049 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |