Individual
DEIRDRE ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13422 KINSMAN RD, CLEVELAND, OH 44120-4410
(216) 283-4400
(216) 283-5359
Mailing address
16225 CYNTHIA DR, BROOKPARK, OH 44142-2713
(216) 283-4400
(216) 283-5359
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN.454681
KY
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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