Provider Demographics
NPI:1487903860
Name:PALSCAK, EMILY E (CNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:PALSCAK
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 714328
Mailing Address - Street 2:ATTN: LAURIE HOGYA
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-4328
Mailing Address - Country:US
Mailing Address - Phone:440-564-5656
Mailing Address - Fax:440-564-5719
Practice Address - Street 1:10780 KINSMAN RD
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:OH
Practice Address - Zip Code:44065-9792
Practice Address - Country:US
Practice Address - Phone:440-564-5656
Practice Address - Fax:440-564-5719
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN334931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily