Individual
ELIVERTA LISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
(419) 334-8619
Mailing address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
(419) 334-8619
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031191
OH
Other
Enumeration date
06/07/2022
Last updated
04/30/2024
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