Individual
NICOLE LEE REIS-EIBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
6531 MARKET AVE N STE 100, CANTON, OH 44721-2430
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.02468
OH
363LF0000X
Family Nurse Practitioner
AP61007025
WA
363LF0000X
Family Nurse Practitioner
CNP24682
OH
Other
Enumeration date
04/22/2019
Last updated
03/25/2026
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