Individual
GLADYS G STEFANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
COA.01459-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224438
UNSION
OH
01
—
000000503621
ANTHEM
—
05
—
2057867
—
OH
01
—
364044
WELLCARE
OH
01
—
751016
BUCKEYE
OH
01
—
7869014
AETNA
—
Enumeration date
07/19/2006
Last updated
01/14/2021
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