Individual
JONATHAN PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
3725 SUTHERLAND RD, SHAKER HEIGHTS, OH 44122-5136
(719) 242-5216
Mailing address
3725 SUTHERLAND RD, SHAKER HEIGHTS, OH 44122-5136
(719) 242-5216
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
505512
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021299
OH
Other
Enumeration date
07/29/2024
Last updated
05/22/2025
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