Provider Demographics
NPI:1609412709
Name:WETZLER, HOWARD (CNP)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:WETZLER
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67783 OLD TWENTY ONE RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9024
Mailing Address - Country:US
Mailing Address - Phone:740-260-6993
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-9024
Practice Address - Country:US
Practice Address - Phone:216-444-0181
Practice Address - Fax:216-445-5650
Is Sole Proprietor?:No
Enumeration Date:2019-11-23
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH388723163WC0200X
OHAPRN.CNP.026682363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine