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NPI Code Detail

MEDICARE: MRS. NICOLE E PENTITO APRN-CNP

MEDICARE: MRS. NICOLE E PENTITO APRN-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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.022653OH
2208M00000XHospitalist PhysicianAPRN.CNP.022653OH

General Provider Information

NPI Number : 1285123489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE E PENTITO APRN-CNP
Provider Business Mailing Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-7800
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 04/20/2026

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