Individual
MRS. KRISTINA PETKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
2141 LAKE AVE, ASHTABULA, OH 44004-3435
(440) 696-7546
(440) 755-8010
Mailing address
2000 AUBURN DR., STE. 350, BEACHWOOD, OH 44122-4327
(440) 646-1600
(440) 646-1505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN.339687
OH
363LF0000X
Family Nurse Practitioner
CNP.024404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371450
—
OH
Enumeration date
08/20/2019
Last updated
10/20/2025
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