Provider Demographics
NPI:1932502705
Name:BYKOWSKI, KRISTIN ELAINE (CNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELAINE
Last Name:BYKOWSKI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:ELAINE
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:330-448-7800
Mailing Address - Fax:330-448-7747
Practice Address - Street 1:7264 WARREN SHARON RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:OH
Practice Address - Zip Code:44403-9691
Practice Address - Country:US
Practice Address - Phone:330-448-7800
Practice Address - Fax:330-448-7747
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16575363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0155454Medicaid