Individual
MRS. NICOLE ANNE MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-4715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0033634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428999502
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/01/2006
Last updated
01/03/2024
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