Individual
LYSHAE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3461 WARRENSVILLE CENTER RD STE 203, SHAKER HEIGHTS, OH 44122-5227
(216) 882-3165
(216) 712-4746
Mailing address
3461 WARRENSVILLE CENTER RD STE 203, SHAKER HEIGHTS, OH 44122-5227
(216) 882-3165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.1800944-S
OH
133NN1002X
Nutrition Education Nutritionist
RN-455717
OH
163WH0200X
Home Health Registered Nurse
RN-455717
OH
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN-455717
OH
Other
Enumeration date
01/11/2021
Last updated
03/01/2022
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