Individual
MRS. KARA MARIE NICODEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, APRN
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-4500
Mailing address
3982 BAIRD RD, STOW, OH 44224-4241
(330) 564-7982
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
PENDING
OH
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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