Individual
NICHOLAS PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
224 MOORE RD, AVON LAKE, OH 44012-1281
(330) 212-0952
Mailing address
224 MOORE RD, AVON LAKE, OH 44012-1281
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
405406
OH
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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