Individual
MRS. NICOLE JEAN HENNICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7334
Mailing address
24700 EUCLID AVE, EUCLID, OH 44117
(216) 383-6614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.323311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3142843
—
OH
01
—
RN.323311
LICENSE
OH
Enumeration date
01/21/2011
Last updated
08/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us