BRETZYL M LISCOE


Address: 630 E River St, Elyria, OH 44035-5902
Phone: 4403238515

BRETZYL M LISCOE (NPI# 1003434952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003434952
Entity Type Individual
Full Name BRETZYL M LISCOE
Practice Address 630 E River St
Elyria
OH 44035-5902
Mailing Address 17703 Hicks Rd
Bedford
OH 44146-4332
Practice Telephone 4403238515
Mailing Telephone 4405250811
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
APRN.CNP.0027013 OH Physician Assistants & Advanced Practice Nursing Providers
Y 363LC0200X Nurse Practitioner
Specialization: Critical Care Medicine
APRN.CNP.0027013 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 630 E RIVER ST
City ELYRIA
State OH
Zip Code 44035-5902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841299039 Emh Regional Medical Center General Acute Care Hospital 630 E River St, Elyria, OH 44035-5902 2005-07-19
1467069989 James Kellogg II Physician Assistant 630 E River St, Elyria, OH 44035-5902 2020-09-29
1326651761 Vicki J Sexstella Respiratory Therapist, Registered 630 E River St, Elyria, OH 44035-5902 2020-08-25
1760009633 Ashley Tobicash Family Medicine 630 E River St, Elyria, OH 44035-5902 2020-06-26
1144843673 Johnna Diaz Nurse Practitioner 630 E River St, Elyria, OH 44035-5902 2020-05-19
1295357911 Denise N Dalton Nurse Practitioner 630 E River St, Elyria, OH 44035-5902 2020-05-15
1568094530 Lori Clark Nurse Practitioner 630 E River St, Elyria, OH 44035-5902 2020-02-07
1467083501 Debora Petani Physician Assistant 630 E River St, Elyria, OH 44035-5902 2020-01-28
1487292272 Amy S Newton Nurse Practitioner 630 E River St, Elyria, OH 44035-5902 2019-12-12
1295387231 Stephanie Christina Flynn Nurse Practitioner 630 E River St, Elyria, OH 44035-5902 2019-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013514546 Monica Sue Lane Homemaker 244 13th St, Elyria, OH 44035 2020-10-07
1457958993 Joaquin Deandre Page Homemaker 116 Parkview Ct, Elyria, OH 44035 2020-10-07
1740887751 Kelley Jean Duga Home Health Aide 46058 Russia Rd, Elyria, OH 44035 2020-10-02
1407477946 Ashley Langer Nurse Practitioner 660 E Broad St, Elyria, OH 44035 2020-05-06
1518593730 Scott Michael Hartman Nurse Practitioner 630 East River Streer, Elyria, OH 44035 2020-03-19
1609415793 Melanie Scott Registered Nurse 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 2020-01-06
1922647478 Hyatt Family Dental, LLC Dentist 301 East Avenue, Elyria, OH 44035 2020-01-02
1255988051 Ashlee Marie Reale Student in an Organized Health Care Education/Training Program 347 Middle Blvd #210, Elyria, OH 44035 2019-08-26
1821656380 Amber Mahone Case Manager/Care Coordinator 342 Midway Blvd Ste 210, Elyria, OH 44035 2019-05-30
1548788151 Robin Lee Newhart Physical Therapist 1885 Lake Avenue, Elyria, OH 44035 2017-09-03
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Taxonomy Information

Taxonomy Code 363LC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518593730 Scott Michael Hartman Nurse Practitioner 630 East River Streer, Elyria, OH 44035 2020-03-19
1740831080 Michelle Renee Gayheart Nurse Practitioner 860 E Broad St Ste 1, Elyria, OH 44035-6542 2019-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558810648 Britney Ann Iannantuono Nurse Practitioner 3535 Olentangy River Rd Ste 6300, Columbus, OH 43214-3908 2016-09-29
1134744378 Stacey Michelle Callison Nurse Practitioner 9000 N Main St, Englewood, OH 45415-1180 2020-06-13
1225651029 Stephanie Dawson Nurse Practitioner 2142 N Cove Blvd, Toledo, OH 43606-3895 2020-05-27
1821617903 Kevin Barth Nurse Practitioner 2142 N Cove Blvd, Toledo, OH 43606-3895 2020-04-09
1811521248 Amanda D Lott Nurse Practitioner 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 2020-02-25
1689228538 Deja Lea Hillman Nurse Practitioner 1 Medical Center Dr, Middletown, OH 45005-2584 2019-07-30
1699328294 Patricia Albano-seitz Nurse Practitioner 730 W Market St, Lima, OH 45801-4602 2019-07-23
1447803069 Christian Daniel Brienik Nurse Practitioner 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2019-07-23
1629637780 Tyler Jacob Jones Nurse Practitioner 9500 Euclid Ave, Cleveland, OH 44195-0001 2019-06-11
1811472061 Kathryn Mae Bash Nurse Practitioner 9500 Euclid Ave, Cleveland, OH 44195-0001 2018-10-03
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Competitor

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City ELYRIA
Zip Code 44035

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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