Individual
IOLA PUSTELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
36001 EUCLID AVE STE C7, WILLOUGHBY, OH 44094-4650
(440) 602-6710
Mailing address
36001 EUCLID AVE STE C7, WILLOUGHBY, OH 44094-4650
(440) 602-6710
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221267
UNISON
OH
01
—
000000509182
ANTHEM
OH
05
—
2332729
—
OH
01
—
363931
WELLCARE
OH
01
—
7053577
AETNA
OH
01
—
738087
BUCKEYE
OH
Enumeration date
07/09/2006
Last updated
02/26/2021
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