Nicole D Endres
Driver • Mansfield, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicole Endres has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Nicole Endres was a registered Driver practicing in Mansfield, OH. Throughout an active medical career spanning 1 years, Nicole Endres provided care at the practice location at 109 N MAIN ST STE 209 until profile deactivation on 2020-11-30.
Practice Location & Contact Primary Location
109 N Main St Ste 209
Mansfield, OH 449027669
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Mansfield, OH
Practicing in Mansfield, OH (1080 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 30, 2020
NPI status registered as active in NPPES database
Registered at 109 N MAIN ST STE 209, MANSFIELD, OH 449027669 (Tel: 4192958324)
Registered at 109 N MAIN ST STE 209, MANSFIELD, OH 449027669 (Tel: 4192958324)
Recorded as NICOLE ENDRES
Driver
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
109 N Main St Ste 209
Mansfield, OH 449027669
Phone: 4192958324
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