Provider Demographics
NPI:1508356999
Name:BIELAWSKI, ELIZABETH VIRGINIA (CNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:VIRGINIA
Last Name:BIELAWSKI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E BUSINESS WAY
Mailing Address - Street 2:
Mailing Address - City:SHARONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3089
Mailing Address - Country:US
Mailing Address - Phone:952-687-4088
Mailing Address - Fax:
Practice Address - Street 1:400 E BUSINESS WAY
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-3089
Practice Address - Country:US
Practice Address - Phone:952-687-4088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily