Individual
LAUREN EBLING BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, WEARN 549, CLEVELAND HEIGHTS, OH 44106-1716
(216) 844-5493
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A0208262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056209
—
OH
Enumeration date
04/04/2008
Last updated
05/23/2012
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