Provider Demographics
NPI:1831742998
Name:INEMAN, NICHOLE LEMAY (MSN, APRN, FNP - C)
Entity type:Individual
Prefix:MRS
First Name:NICHOLE
Middle Name:LEMAY
Last Name:INEMAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP - C
Other - Prefix:MS
Other - First Name:NICHOLE
Other - Middle Name:LEMAY
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4852 W PARK DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2651
Mailing Address - Country:US
Mailing Address - Phone:419-934-0821
Mailing Address - Fax:
Practice Address - Street 1:224 W EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1704
Practice Address - Country:US
Practice Address - Phone:330-344-6453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024551363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily