Provider Demographics
NPI:1093157455
Name:BIELEK, KATHY LEE (RN MSN CPNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:LEE
Last Name:BIELEK
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Gender:F
Credentials:RN MSN CPNP
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Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:DEPARTMENT S20
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-2993
Mailing Address - Fax:216-444-3577
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DEPARTMENT S20
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-2993
Practice Address - Fax:216-444-3577
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
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Provider Licenses
StateLicense IDTaxonomies
OHRN-204641363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics