MEDICARE: NICHOLE MARBLEY

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1093396921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLE MARBLEY

Provider Business Mailing Address
First Line	:	1987 TWINSBURG RD
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2456
Country	:	US
Telephone Number	:	330-348-1102
Fax Number	:

Provider Business Practice Location Address
First Line	:	1987 TWINSBURG RD
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2456
Country	:	US
Telephone Number	:	330-348-1102
Fax Number	:

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

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	04/21/2021

Similar Medicare Providers

1295663243 — DERRICK MARBLEY
Practice Location Address:

1987 TWINSBURG RD
TWINSBURG, OH
44087-2456

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1255197992 — MR. LINCOLN DOMINIC MARBLEY
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1205767605 — KATHLEEN KORECKY M.A., CCC-SLP
Practice Location Address:

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1356207914 — ABRA LISOWSKI
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9810 RAVENNA RD STE 1
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1790966711 — MS. AMY L JONES RPH
Practice Location Address:

10085 DARROW RD
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Directions to “ NICHOLE MARBLEY ” Practice Location

Language	Start Address	Practice Location

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