Provider Demographics
NPI:1427713684
Name:GAREE, NICOLE LEEANN (RN)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:LEEANN
Last Name:GAREE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 N EASTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-2202
Mailing Address - Country:US
Mailing Address - Phone:419-221-6051
Mailing Address - Fax:
Practice Address - Street 1:370 N EASTOWN RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-2202
Practice Address - Country:US
Practice Address - Phone:419-221-6051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN436066163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology