Provider Demographics
NPI:1114748209
Name:LEVERETT, RANI CHERIE
Entity type:Individual
Prefix:
First Name:RANI
Middle Name:CHERIE
Last Name:LEVERETT
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 1:6094 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-3927
Mailing Address - Country:US
Mailing Address - Phone:216-849-8512
Mailing Address - Fax:
Practice Address - Street 1:6094 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-3927
Practice Address - Country:US
Practice Address - Phone:216-849-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-11-25
Deactivation Date:2024-10-25
Deactivation Code:
Reactivation Date:2024-11-22
Provider Licenses
StateLicense IDTaxonomies
OHRN.519902163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse