| Doctor Name: | SANDRA CONSTANCE CHETNIK-NORRIS |
| NPI Number: | 1396824892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN ANP |
| License Number: | RN 143229 |
| Business Practice Address: | 2503 Rubyvale Rd University Heights, OH - 441184619 |
| Business Phone Number: | 2164064323 |
| Business Fax Number: | 2162919861 |
| Mailing Address: | 17469 Lake Ave, LAKEWOOD |
| State: | OH |
| Postal Code: | 441071147 |
| Phone Number: | 2162997313 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 06/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1400X |
| License Number: | RN 143229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | College Health |
| Taxonomy Definition: | |