Individual
MRS. ELISE ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-AC
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2294
(216) 312-4500
Mailing address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2294
(216) 312-4500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0037099
OH
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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