Bretzyl M Liscoe
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
630 E River St
Elyria
, Ohio 44035-5902
Bretzyl M Liscoe
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
630 E River St
Elyria
, Ohio 44035-5902
(440) 525-0811
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Bretzyl M Liscoe
- 17703 Hicks Rd
- Bedford, OH
- Zip : 44146-4332
- Phone : (440) 525-0811
Second Address
- Bretzyl M Liscoe
- 630 E River St
- Elyria, OH
- Zip : 44035-5902
- Phone : (440) 323-8515
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Is Bretzyl M Liscoe a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0027013 | OH |
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.0027013 | OH |
National Provider Identifier
| NPI | 1003434952 |
|---|---|
| Provider Name | Bretzyl M Liscoe |
| First Address | Bedford, OH 44146-4332 |
| Second Address | Elyria, OH 44035-5902 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2020 |
| Last Update Date | 08/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.