MEDICARE: JOSHUA MICHAEL CARREON RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	RN.538637	OH

General Provider Information

NPI Number	:	1285526780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MICHAEL CARREON RN

Provider Business Mailing Address
First Line	:	776 EUCLID AVE APT 1811
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-3047
Country	:	US
Telephone Number	:	646-388-3719
Fax Number	:

Provider Business Practice Location Address
First Line	:	776 EUCLID AVE APT 1811
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-3047
Country	:	US
Telephone Number	:	646-388-3719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2025
Last Update Date	:	07/18/2025

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