Individual
PAUL KOHANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN CNP
Contact information
Practice address
11100 EUCLID AVE, MP3500 MS 5078, CLEVELAND, OH 44106-1716
(216) 844-1402
(216) 844-7492
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA09374-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2943953
—
OH
01
—
COA09374-NP
CERTIFICATE OF AUTHORITY
OH
Enumeration date
04/03/2007
Last updated
01/12/2021
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