Provider Demographics
NPI:1679347751
Name:MOEHRING, NICOLE ANN
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ANN
Last Name:MOEHRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 EDGEHILL CT
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9160
Mailing Address - Country:US
Mailing Address - Phone:440-829-0232
Mailing Address - Fax:
Practice Address - Street 1:1437 EDGEHILL CT
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9160
Practice Address - Country:US
Practice Address - Phone:440-829-0232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker