Lydia Glaude
Nurse Practitioner - Pediatrics
3486 Mayfield Rd
Cleveland Hts
, Ohio 44118-1405
Lydia Glaude
Nurse Practitioner - Pediatrics
3486 Mayfield Rd
Cleveland Hts
, Ohio 44118-1405
(216) 382-0726
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Lydia Glaude
- 3486 Mayfield Rd
- Cleveland Hts, OH
- Zip : 44118-1405
- Fax : (216) 382-0726
- Phone : (216) 382-0555
Second Address
- Lydia Glaude
- 3486 Mayfield Rd
- Cleveland Hts, OH
- Zip : 44118-1405
- Fax : (216) 382-0726
- Phone : (216) 382-0555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN128578COA1 | OH |
National Provider Identifier
| NPI | 1003043118 |
|---|---|
| Provider Name | Lydia Glaude |
| First Address | Cleveland Hts, OH 44118-1405 |
| Second Address | Cleveland Hts, OH 44118-1405 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2009 |
| Last Update Date | 16/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2060577 | (05) | OH |
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.