Nicolette Mullinax, | |
442 Woodmere Dr, Berea, OH 44017-2435 | |
(440) 305-9913 | |
Not Available |
Full Name | Nicolette Mullinax |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 442 Woodmere Dr, Berea, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528878477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0038177 (Ohio) | Primary |
Entity Name | Cnp Operating Co Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20140626002603 |
Entity Name | Pa Post Acute Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240312002651 |
Mailing Address | Practice Location Address |
---|---|
Nicolette Mullinax, 442 Woodmere Dr, Berea, OH 44017-2435 Ph: (440) 305-9913 | Nicolette Mullinax, 442 Woodmere Dr, Berea, OH 44017-2435 Ph: (440) 305-9913 |
Jessica Shattuck, APRN-CNM, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Slippery Rock Ln, Berea, OH 44017 Phone: 440-610-3710 | |
Ciara Pruitt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 Front St, Berea, OH 44017 Phone: 440-523-9966 Fax: 216-584-2895 | |
Amanda Cafarelli De Leon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 563 W Bagley Rd, Berea, OH 44017 Phone: 440-234-8455 | |
Miss Tara Mcclure, CN-P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Slippery Rock Ln, Berea, OH 44017 Phone: 216-544-0652 | |
Lauren Ethel Bara, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Eastland Rd, Berea, OH 44017 Phone: 440-826-2178 Fax: 440-826-3382 | |
Tyecia Stevens, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd Ste 12, Berea, OH 44017 Phone: 216-340-0005 | |
Christina Serger, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 434 Eastland Rd, Berea, OH 44017 Phone: 440-234-2006 |