MEDICARE: ELIZABETH NEWHOUSE RN, BSN, CCTN, CLNC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.260057	OH

General Provider Information

NPI Number	:	1437347085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH NEWHOUSE RN, BSN, CCTN, CLNC

Provider Business Mailing Address
First Line	:	7460 MEADOW BROOKE WAY
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-4001
Country	:	US
Telephone Number	:	330-468-1751
Fax Number	:

Provider Business Practice Location Address
First Line	:	2181 E AURORA RD
Second Line	:	SUITE 201
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1974
Country	:	US
Telephone Number	:	330-486-6322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	10/09/2007

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