Provider Demographics
NPI:1265857296
Name:MCCRICKARD, NANCY (ND,RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MCCRICKARD
Suffix:
Gender:F
Credentials:ND,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2913
Mailing Address - Country:US
Mailing Address - Phone:216-634-2355
Mailing Address - Fax:
Practice Address - Street 1:6601 FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-2913
Practice Address - Country:US
Practice Address - Phone:216-634-2355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH241766163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool