Search › Ohio › 363LF0000X
Nicole Reynolds, CNP
NPI 1700355088 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7801 Detroit Ave
Cleveland, OH 44102 - Phone
- (216) 634-7400
- Fax
- (216) 634-7483
- Organisation at this address
- St Augustine Manor
St Augustine Manor
St Augustine Services Corp
St Augustine Transportation
St. Augustine Services Corp.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 6707 State Rd, Parma, OH
- 18697 Bagley Rd, Middleburg Heights, OH
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio