Renee Marie Makupson, | |
22344 Lake Shore Blvd, Euclid, OH 44123-1717 | |
(216) 815-4325 | |
Not Available |
Full Name | Renee Marie Makupson |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 22344 Lake Shore Blvd, Euclid, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255040408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.0032668 (Ohio) | Primary |
Entity Name | Planned Parenthood Of Greater Ohio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427066000 PECOS PAC ID: 4688563448 Enrollment ID: O20040311000608 |
Entity Name | Village Of Healing |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154991099 PECOS PAC ID: 6901290212 Enrollment ID: O20220303000264 |
Mailing Address | Practice Location Address |
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Renee Marie Makupson, 22344 Lake Shore Blvd, Euclid, OH 44123-1717 Ph: (216) 815-4325 | Renee Marie Makupson, 22344 Lake Shore Blvd, Euclid, OH 44123-1717 Ph: (216) 815-4325 |
Ms. Leah Rebbeca Stallworth, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19530 Euclid Ave, Euclid, OH 44117 Phone: 216-243-5589 | |
Allan Ehrenreich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18901 Lake Shore Blvd, Euclid, OH 44119 Phone: 216-692-8823 | |
Stephanie Ilodi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 E 245th St, Euclid, OH 44123 Phone: 216-926-3230 | |
Sydney Angelina Cira, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 99 Northline Cir Ste 215, Euclid, OH 44119 Phone: 216-692-9525 Fax: 216-427-9054 | |
Loretta Latsnic, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24701 Euclid Ave, Euclid, OH 44117 Phone: 440-829-2249 | |
Terri D Pierson, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18901 Lake Shore Blvd, Euclid, OH 44119 Phone: 216-531-9000 | |
Rosemarie S Zalar, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18901 Lake Shore Blvd, Euclid, OH 44119 Phone: 216-531-9000 |