Provider Demographics
NPI:1134814130
Name:KORINEK, KRISTIN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:KORINEK
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6484 GLENN DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4427
Mailing Address - Country:US
Mailing Address - Phone:440-320-6963
Mailing Address - Fax:
Practice Address - Street 1:6484 GLENN DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4427
Practice Address - Country:US
Practice Address - Phone:440-320-6963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily