MEDICARE: CLEAR EAR SOLUTIONS, LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1619779733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR EAR SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	6841 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1603
Country	:	US
Telephone Number	:	804-601-0810
Fax Number	:	804-315-1017

Provider Business Practice Location Address
First Line	:	3524 BOULEVARD
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1320
Country	:	US
Telephone Number	:	804-805-8519
Fax Number	:	804-315-1017

Authorized Official
Title or Position	:	FNP-C
Name	:	NIKITIA BOOTH
Credential	:	FNP-C
Telephone Number	:	804-601-0810

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/09/2026

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