Individual
NICHOLE DIANE BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 E BRYAN ST, BRYAN, OH 43506-1368
(419) 799-7127
Mailing address
340 E BRYAN ST, BRYAN, OH 43506-1368
(419) 799-7127
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3651640
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78662040
—
OH
Enumeration date
11/09/2022
Last updated
11/09/2022
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