Individual
NICHOLAUS REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(216) 694-4080
Mailing address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025261
OH
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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