Healthcare Provider Details

I. General information

NPI: 1649330127
Provider Name (Legal Business Name): NICOLE J ERINAKES-CHAUVETTE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 01/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7997 EUCLID AVE
CLEVELAND OH
44103-4226
US

IV. Provider business mailing address

7997 EUCLID AVE
CLEVELAND OH
44103-4226
US

V. Phone/Fax

Practice location:
  • Phone: 216-851-1880
  • Fax: 216-707-9370
Mailing address:
  • Phone: 216-851-1880
  • Fax: 261-707-9370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number06746NM
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: