Healthcare Provider Details
I. General information
NPI: 1619779733
Provider Name (Legal Business Name): CLEAR EAR SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2025
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3524 BOULEVARD
COLONIAL HEIGHTS VA
23834-1320
US
IV. Provider business mailing address
6841 FOREST HILL AVE
RICHMOND VA
23225-1603
US
V. Phone/Fax
- Phone: 804-805-8519
- Fax: 804-315-1017
- Phone: 804-601-0810
- Fax: 804-315-1017
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NIKITIA
BOOTH
Title or Position: FNP-C
Credential: FNP-C
Phone: 804-601-0810