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Contact Information

NICOLE J HENNICKE, CRNA
11100 EUCLID AVE
CLEVELAND, OH44106
 Phone: 216-844-7334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for NICOLE J HENNICKE · (Female)

NPI Number 1396040432
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 01/21/2011
Last updated 08/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # RN.323311
  • OH Medicaid 3142843
  • OH Other RN.323311 LICENSE
Hospital affiliation(s)
  • CLEVELAND CLINIC - (Acute Care)
    9500 EUCLID AVENUE
    CLEVELAND, OH 44195
  • MARYMOUNT HOSPITAL - (Acute Care)
    12300 MCCRACKEN ROAD
    GARFIELD HEIGHTS, OH 44125
  • MEDINA HOSPITAL - (Acute Care)
    1000 EAST WASHINGTON STREET
    MEDINA, OH 44256
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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