Healthcare Provider Details

I. General information

NPI: 1184010530
Provider Name (Legal Business Name): EDWINA LITHERLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EDWINA LOUISE FIGULI MCFEE BSN

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 04/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

2207 BUNTS RD
LAKEWOOD OH
44107-6105
US

V. Phone/Fax

Practice location:
  • Phone: 877-838-8262
  • Fax:
Mailing address:
  • Phone: 216-538-9179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN 220-616
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: