Individual
NICOLE BOUCHAHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-2200
Mailing address
2757 COVENTRY DR, PARMA, OH 44134-5633
(440) 429-2851
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0027348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0027348
OHIO BOARD OF NURSING
OH
Enumeration date
08/13/2020
Last updated
08/13/2020
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