Individual
MRS. CARMELLA COLSTON USHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1042 HILLSTONE RD, CLEVELAND HEIGHTS, OH 44121-2426
(216) 291-5363
Mailing address
PO BOX 18981, CLEVELAND HEIGHTS, OH 44118-0981
(216) 262-5176
(216) 381-9796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 062952
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356589
—
OH
Enumeration date
11/22/2007
Last updated
11/22/2007
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