MEDICARE: CLARISSA REESE

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	376K00000X	Nurse's Aide	401159201010	OH

General Provider Information

NPI Number	:	1407656531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARISSA REESE

Provider Business Mailing Address
First Line	:	335 BRENTWOOD DR
Second Line	:
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-2758
Country	:	US
Telephone Number	:	440-463-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 QUILLIAMS RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1833
Country	:	US
Telephone Number	:	440-463-2488
Fax Number	:

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

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/17/2025

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Directions to “ CLARISSA REESE ” Practice Location

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