Individual
LIZETTER ANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5733 MILLBANK RD APT B, COLUMBUS, OH 43229-4143
(614) 446-9896
Mailing address
5733 MILLBANK RD APT B, COLUMBUS, OH 43229-4143
(614) 446-9896
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
468486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468486
OHIO BOARD OF NURSING
OH
Enumeration date
09/28/2020
Last updated
09/28/2020
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