Individual
EVELYN LOUISE NICHOLS ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
23305 CHAGRIN BLVD APT 304, BEACHWOOD, OH 44122-5518
(216) 640-4706
Mailing address
23305 CHAGRIN BLVD APT 304, BEACHWOOD, OH 44122-5518
(216) 640-4706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R.N 234492
OH
163WC1500X
Community Health Registered Nurse
R.N 234492
OH
163WC3500X
Cardiac Rehabilitation Registered Nurse
R.N 234492
OH
Other
Enumeration date
06/18/2016
Last updated
06/18/2016
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