Lizette Anderson, RN
Individual provider Active NPI Registered Nurse · Brookpark, OH
NPI 1003401027 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1003401027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.372636 (OH)
- Practice address
- 16101 Snow Rd Ste 101102
Brookpark, OH 44142-2817 - Phone
- (440) 260-8300
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.372636 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.372636 | OH | Yes |
Addresses
Primary practice location
16101 Snow Rd Ste 101102
Brookpark, OH 44142-2817
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006
Other practice location 1
3500 Carnegie Ave
Cleveland, OH 44115-2641
Phone (440) 260-8300
Other names
- Lizette Grodell
Other providers in Brookpark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.