Individual provider · NPI-1
Reannin Moles, CNP
Nurse Practitioner, Primary Care · Copley, OH
NPI number1487375820
StatusActive
Last updated in NPPESSep 5, 2022
Details
- NPI
- 1487375820
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Reannin Moles
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2022
- Certification date
- Aug 21, 2022
- Last updated
- Sep 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | aprn.cnp.0032098 | OH | Yes |
Practice location
4104 Meadowcreek LnCopley, OH 44321-3091
Phone 330-631-1570
Mailing address
4104 Meadowcreek LnCopley, OH 44321-3091
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