BRETZYL M LISCOE NPI 1003434952

NPI Information

NPI: 1003434952
Provider Name: BRETZYL M LISCOE
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: ELYRIA ANESTHESIA INCORPORATED

PECOS Registration: Yes

Address:
630 E RIVER ST
ELYRIA, OH
ZIP 44035
Phone: (440) 323-8515
Get Directions

Bretzyl M Liscoe is a critical care medicine nurse practitioner in Elyria, OH with 4 years of experience. Bretzyl M Liscoe NPI is 1003434952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 E RIVER ST
ELYRIA, OH
ZIP 44035-902
Phone: (440) 323-8515

The NPI 1003434952 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 7/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	APRN.CNP.0027013	OHIO	No
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	APRN.CNP.0027013	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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