Individual
MRS. IMMACULATE NYASHA BERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
220 CARRINGTON LN, LOVELAND, OH 45140-7386
(216) 856-3700
Mailing address
220 CARRINGTON LN, LOVELAND, OH 45140-7386
(216) 856-3700
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401962790517
OH
376G00000X
Nursing Home Administrator
401962790517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401962790517
—
OH
Enumeration date
02/23/2018
Last updated
06/16/2018
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