Rena Mammoo
Rena Mammoo is a Nurse Practitioner in Chagrin Falls, Ohio. Qualified in 2014, 12 years ago. Practices with Minuteclinic Diagnostic of Ohio LLC, a 191-clinician group and accepts Medicare assignment. Licensed in Illinois and Ohio.
- Years since qualifying
- 12
- Licensed in
- IL, OH
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
16801 Chillicothe RdChagrin Falls, OH 44023-4618
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 0030086 (OH) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 209013051 (IL) |
Record details
| NPI number | 1619352168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2015 |
| Last updated in NPPES | November 8, 2023 |
| Certification date | November 8, 2023 |
| Mailing address | 16801 Chillicothe Rd, Chagrin Falls, OH 44023-4618 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Minuteclinic Diagnostic Of Ohio Llc — 191 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Chagrin Falls
-
Christopher F Manacci, DNP, ACNP-C
17819 Auburn Rd, Chagrin Falls, OH 44023-6130 · (844) 764-4633
-
Lynnette M Nied, RN, MSN, NP-C
17747 Chillicothe Rd Ste 203, Chagrin Falls, OH 44023-4765 · (440) 543-9810
-
Mrs. Anna Katherine Sirk, RN, BSN, FNP-C
17124 Curry Ln, Chagrin Falls, OH 44023-5520 · (440) 867-3924