MARY ELIZABETH MODIC NPI 1871115444

NPI Information

  • NPI: 1871115444
  • Provider Name: MARY ELIZABETH MODIC
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • Address: OFFICE OF ADVANCED PRACTICE - P-32 9500 EUCLID AVE
    CLEVELAND, OH
    ZIP 44195
  • Phone: (216) 444-9005

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NPI Details

Mary Elizabeth Modic is a clinical nurse specialist in Cleveland, OH. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Mary Elizabeth Modic NPI is 1871115444. 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:

OFFICE OF ADVANCED PRACTICE - P-32 9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195-001
Phone: (216) 444-9005

The enumeration date for this NPI number is 5/17/2020 and was last updated on 12/12/2023.

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
1364S00000XClinical Nurse Specialist147424OHIOYes

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: 3/30/2025

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