Healthcare Provider Details

I. General information

NPI: 1316841463
Provider Name (Legal Business Name): HOPE NOEL FUENTES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 EAST BLVD
CLEVELAND OH
44106-1720
US

IV. Provider business mailing address

1166 LAFAYETTE RD LOT D16
MEDINA OH
44256-3527
US

V. Phone/Fax

Practice location:
  • Phone: 216-485-2525
  • Fax:
Mailing address:
  • Phone: 216-485-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN.482497
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: