Individual
BETH ELLEN LIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
420542
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
0033340
OH
Other
Enumeration date
02/16/2023
Last updated
02/23/2023
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