Individual
MRS. NICOLE MARIE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5232
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.374313
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023304
OH
Other
Enumeration date
07/19/2018
Last updated
02/07/2023
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