Provider Demographics
NPI:1649512005
Name:RAMACCIATO, NICOLE (CNP)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:RAMACCIATO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:DUFFY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:14900 PRIVATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112
Mailing Address - Country:US
Mailing Address - Phone:216-268-8385
Mailing Address - Fax:216-851-6634
Practice Address - Street 1:14900 PRIVATE DRIVE
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112
Practice Address - Country:US
Practice Address - Phone:216-268-8385
Practice Address - Fax:216-851-6634
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily