Individual provider · Type 1 NPI

Rena Mammoo

Family Nurse Practitioner · Chagrin Falls, OH

NPI number 1619352168 Active

Practice location

16801 Chillicothe Rd
Chagrin Falls, OH 44023-4618

Call (866) 389-2727 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209013051 (IL)
Family Nurse Practitioner Primary 363LF0000X0030086 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1619352168

Rena Mammoo's National Provider Identifier is 1619352168, issued on Jul 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chagrin Falls, OH. The record was last updated on Nov 8, 2023.