Individual
ROBYN J MIKLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1800 LIVINGSTON AVE, LORAIN, OH 44052-3781
(440) 240-1655
(440) 245-1218
Mailing address
1800 LIVINGSTON AVE, LORAIN, OH 44052-3781
(440) 240-1655
(440) 245-1218
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0249-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221287
UNISON
OH
01
—
000000526145
ANTHEM
OH
05
—
2053012
—
OH
01
—
7051573
AETNA
OH
01
—
P00412507
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
01/04/2012
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