Individual
LISA M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
715 E WESTERN RESERVE RD, 2ND FL, POLAND, OH 44514-3358
(330) 954-3363
(330) 729-7701
Mailing address
715 E WESTERN RESERVE RD, 2ND FL, POLAND, OH 44514-3358
(330) 954-3363
(330) 729-7701
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.022926
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.022926
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.022926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111527
—
OH
Enumeration date
09/22/2014
Last updated
07/11/2019
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