Provider Demographics
NPI:1427730936
Name:SMYCZEK, NATALIE (ACNP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:SMYCZEK
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:TREPKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9882 TAMARACK TRL
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4110
Mailing Address - Country:US
Mailing Address - Phone:216-233-2731
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-3366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034565363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care