Provider Demographics
NPI:1518203926
Name:BURKHART-KOWALEWSKI, JOYCE ANN (RN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:BURKHART-KOWALEWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1154
Mailing Address - Country:US
Mailing Address - Phone:330-338-0770
Mailing Address - Fax:
Practice Address - Street 1:2440 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1154
Practice Address - Country:US
Practice Address - Phone:330-338-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN387213163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse