NICOLE PACK (NPI# 1467003921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467003921 |
| Entity Type | Individual |
| Full Name | NICOLE PACK |
| Credential | CNP |
| Practice Address |
11220 Island Rd Grafton OH 44044-9000 |
| Practice Telephone | 4403090951 |
| Mailing Telephone | 4403090951 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
025445 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11220 ISLAND RD |
| City | GRAFTON |
| State | OH |
| Zip Code | 44044-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918118 | Ann Motylewski | Social Worker | 2075 South Avon Beldon Blvd, Grafton, OH 44044 | 2016-09-01 |
| 1770995961 | Kimbrley D Clark | Counselor | 2057 S. Avon-belden Rd, Grafton, OH 44044 | 2014-05-22 |
| 1649396219 | Cynthia Kay Chrisulis | Licensed Practical Nurse | 1028 Center St, Grafton, OH 44044 | 2007-03-22 |
| 1649334970 | Grafton Township Trustees | Ambulance | 17109 Avon Belden Road, Grafton, OH 44044 | 2006-12-21 |
| 1528091667 | Eaton Township Ttee | Ambulance | 35955 E Royalton Rd, Grafton, OH 44044 | 2006-07-09 |
| 1366440778 | Firas Seffo | Family Medicine | Lake Hospital Systems East, Painesville, OH 44044 | 2005-07-09 |
| 1790909497 | Sarah Ann-marie Boone | Pharmacist | 479 Main St, Grafton, OH 44044 | 2007-04-12 |
| 1780700575 | Nelly J Ruebensaal | Pharmacist | 479 Main Street, Grafton, OH 44044 | 2007-03-22 |
| 1447778188 | Sarah Noel Stanton | Speech-Language Pathologist | 13080 Durkee Rd, Grafton, OH 44044-1122 | 2017-09-01 |
| 1023421112 | Ann Marie Spice | Speech-Language Pathologist | 13070 Durkee Rd, Grafton, OH 44044-1122 | 2014-06-05 |
| Find all providers in zip 44044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380778 | Jessica Sullivan | Nurse Practitioner | 2024 Willow Pond Way, Grafton, WI 53024-9101 | 2020-03-07 |
| 1114572641 | Kate Irene Wolf | Nurse Practitioner | 11 Rodnick St, Grafton, MA 01519-1104 | 2019-08-01 |
| 1053729160 | Telana Nicole Fairchild | Nurse Practitioner | 28 Grafton Common, Grafton, MA 01519 | 2014-08-01 |
| 1942451596 | Jody Rae Sharp | Nurse Practitioner | 701 West Sixth Street, Grafton, ND 58237-1379 | 2008-10-01 |
| 1992801617 | Judy K Lipscomb | Nurse Practitioner | 401 N Pike St, Grafton, WV 26354-1268 | 2006-09-16 |
| 1417932021 | Kathleen R Schweitzer | Nurse Practitioner | 701 W 6th St, Grafton, ND 58237-1379 | 2005-12-07 |
| 1205481405 | Dennis Nyagechanga Chakua | Nurse Practitioner | 164 W 13th St, Grafton, ND 58237-1826 | 2019-08-05 |
| 1447804497 | Krystal Ann Wright | Nurse Practitioner | 2855 Denbigh Blvd, Grafton, VA 23692-6501 | 2019-07-29 |
| 1750934816 | Amy Elizabeth Gutshall | Nurse Practitioner | 1 Hospital Plz, Grafton, WV 26354-1283 | 2019-07-18 |
| 1588141915 | Jamila Brown | Nurse Practitioner | 1113 W 11th St, Grafton, ND 58237-2139 | 2018-07-28 |
| Find all providers in GRAFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.