Individual
MRS. ERICA MARIE LIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
8915 LEATHERLEAF DR, COLUMBIA STATION, OH 44028-9850
(440) 732-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.424047
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0031950
OH
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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