MEDICARE: NICOLE A REMESNIK LPN

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	164W00000X	Licensed Practical Nurse	LPN.141724.MEDS-IV	OH

General Provider Information

NPI Number	:	1447961271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE A REMESNIK LPN

Provider Business Mailing Address
First Line	:	27216 COOK RD TRLR 1
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-1087
Country	:	US
Telephone Number	:	216-258-5892
Fax Number	:

Provider Business Practice Location Address
First Line	:	5520 BROADVIEW RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-1606
Country	:	US
Telephone Number	:	216-749-4010
Fax Number	:

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

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	12/13/2022

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Directions to “ NICOLE A REMESNIK LPN” Practice Location

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