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NPI Code Detail

MEDICARE: NICOLE RICHTER

MEDICARE: NICOLE RICHTER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1881100873
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE RICHTER
Provider Business Mailing Address
First Line : 2831 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2831 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2606
Country : US
Telephone Number : 216-579-1330
Fax Number : 216-771-5114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 08/10/2021

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Directions to “ NICOLE RICHTER ” Practice Location

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