Provider Demographics
NPI:1689703449
Name:RINELLA, CANDICE M
Entity Type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:M
Last Name:RINELLA
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 1:6015 MONICA LN
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5105
Mailing Address - Country:US
Mailing Address - Phone:216-518-1457
Mailing Address - Fax:
Practice Address - Street 1:6015 MONICA LN
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5105
Practice Address - Country:US
Practice Address - Phone:216-518-1457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2393646OtherSTATE OF OHIO