Unknown Individual – Administrator Registered Nurse, NPI 1700967254
Administrator Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Som Center Road, Willoughby Hills, Lake County, Ohio, 44092, United States
WILLOUGHBY, OH 440944203
Phone: (440) 975-4689
Fax: (440) 975-4630
Type: Location
23540, Shaker Boulevard, Mercer, Shaker Heights, Cuyahoga County, Ohio, 44122, United States
SHAKER HEIGHTS, OH 441222605
Phone: (216) 751-8212
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44094)
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