Provider Demographics
NPI:1114431954
Name:HUNTER, NICOLE NORIKA
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:NORIKA
Last Name:HUNTER
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 1:4912 QUINCY AVE APT 2155
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-1255
Mailing Address - Country:US
Mailing Address - Phone:216-313-1964
Mailing Address - Fax:
Practice Address - Street 1:1986 STOKES BLVD APT 904
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2227
Practice Address - Country:US
Practice Address - Phone:216-727-5218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker