Provider Demographics
NPI:1447849377
Name:VERCHICK, RANICE
Entity type:Individual
Prefix:
First Name:RANICE
Middle Name:
Last Name:VERCHICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 S EDGERTON RD # 100
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4203
Mailing Address - Country:US
Mailing Address - Phone:440-630-9430
Mailing Address - Fax:
Practice Address - Street 1:7005 S EDGERTON RD # 100
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-4203
Practice Address - Country:US
Practice Address - Phone:440-630-9430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH026197363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner