Individual
MRS. NICHOLE JEAN ENGELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3520 E CENTER ST, CONNEAUT, OH 44030-3332
(440) 224-7433
Mailing address
3488 E CENTER ST, CONNEAUT, OH 44030-3334
(440) 224-1385
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN309478
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2512070
—
OH
Enumeration date
04/26/2007
Last updated
07/08/2007
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