Provider Demographics
NPI:1093104598
Name:SVEC, KIMBERLY ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANN
Last Name:SVEC
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 SOM CENTER RD
Mailing Address - Street 2:# 106
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4203
Mailing Address - Country:US
Mailing Address - Phone:440-953-5740
Mailing Address - Fax:440-953-5741
Practice Address - Street 1:5105 SOM CENTER RD
Practice Address - Street 2:# 106
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4203
Practice Address - Country:US
Practice Address - Phone:440-953-5740
Practice Address - Fax:440-953-5741
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.17005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily