Dr NICOLE J HENNICKE is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2005.
THE CLEVELAND CLINIC FOUNDATION
12300 MCCRACKEN RD
GARFIELD HEIGHTS
OH
441252914
Tel:
| Npi | 1396040432 |
| Pac Id | 4981884830 |
| Professional Enrollment Id | I20110209000528 |
| Last Name | HENNICKE |
| First Name | NICOLE |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | THE CLEVELAND CLINIC FOUNDATION |
| Group Practice Pac Id | 1850203555 |
| Number Of Group Practice Members | 4232 |
| Line 1 Street Address | 12300 MCCRACKEN RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GARFIELD HEIGHTS |
| State | OH |
| Zip Code | 441252914 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 360143 |
| Hospital Affiliation Lbn 1 | MARYMOUNT HOSPITAL |
| Hospital Affiliation Ccn 2 | 360180 |
| Hospital Affiliation Lbn 2 | CLEVELAND CLINIC |
| Hospital Affiliation Ccn 3 | 360091 |
| Hospital Affiliation Lbn 3 | MEDINA HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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