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NPI Code Detail

MEDICARE: CIERRA NICHOLE HOPKINS RN

MEDICARE:   CIERRA NICHOLE HOPKINS  RN
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
1163W00000XRegistered Nurse369236OH

General Provider Information

NPI Number : 1992088124
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIERRA NICHOLE HOPKINS RN
Provider Business Mailing Address
First Line : 3423 E 125TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4321
Country : US
Telephone Number : 216-632-4645
Fax Number :
Provider Business Practice Location Address
First Line : 3423 E 125TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4321
Country : US
Telephone Number : 216-632-4645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2011
Last Update Date : 09/23/2011

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Directions to “ CIERRA NICHOLE HOPKINS RN” Practice Location

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