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NPI Code Detail

MEDICARE: CARRIE L CALES CNP

MEDICARE: CARRIE L CALES CNP
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.13856OH
2207R00000XInternal Medicine PhysicianAPRN.CNP.13856OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043560683
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE L CALES CNP
Provider Business Mailing Address
First Line : 4567 TURNEY RD
Second Line :
City : MADISON
State : OH
Zip : 44057-9773
Country : US
Telephone Number : 440-364-8646
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 800-223-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2012
Last Update Date : 04/20/2026

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