Individual
SARAI C FENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
515 BRIDGESIDE DR, AVON LAKE, OH 44012-2766
(440) 930-5301
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN-229437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2338750
—
OH
Enumeration date
12/03/2008
Last updated
12/03/2008
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