Individual
CHAUNA NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14530 STRATHMORE AVE, EAST CLEVELAND, OH 44112-2763
(216) 210-4868
Mailing address
14530 STRATHMORE AVE, EAST CLEVELAND, OH 44112-2763
(216) 210-4868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.155945-M-IV
OH
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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