Individual
NICOLE E INA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2050 E 96TH ST, Q BLDG, CLEVELAND, OH 44106-2970
(216) 444-5600
Mailing address
1424 LARCHMONT AVE, LAKEWOOD, OH 44107-3402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0032744
OH
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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