Michaela C Humphrey, APRN | |
6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 | |
(216) 643-2780 | |
(216) 524-0111 |
Full Name | Michaela C Humphrey |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6100 Rockside Woods Blvd N Ste 425, Independence, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548971575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0032706 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | 0032706 (Ohio) | Primary |
Entity Name | Northeast Surgical Wound Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649215583 PECOS PAC ID: 7416948153 Enrollment ID: O20040520001174 |
Mailing Address | Practice Location Address |
---|---|
Michaela C Humphrey, APRN 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 Ph: (216) 643-2780 | Michaela C Humphrey, APRN 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 Ph: (216) 643-2780 |
Elizabeth Ann Khacherian, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5001 Rockside Rd, Independence, OH 44131 Phone: 216-986-4000 | |
Susan E Reif, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6801 Brecksville Rd, Suite 10, Independence, OH 44131 Phone: 216-444-4663 Fax: 216-636-8839 | |
Colleen Theresa Coleman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5001 Rockside Rd, Independence, OH 44131 Phone: 440-278-1002 | |
Karla Dey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131 Phone: 216-643-2780 Fax: 216-524-0111 | |
Luann Etcher, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6150 Oak Tree Blvd, Suite 200, Independence, OH 44131 Phone: 800-897-9177 Fax: 800-470-8713 | |
Sandra Chlad, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6801 Brecksville Rd, Rk10, Independence, OH 44131 Phone: 216-444-4663 | |
Baoanh Chu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6150 Oak Tree Blvd Ste 200, Independence, OH 44131 Phone: 954-850-3444 |