Healthcare Provider Details

I. General information

NPI: 1255259834
Provider Name (Legal Business Name): LISA RHOME APRN.CNP
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

698 DIANE AVE
STREETSBORO OH
44241-4718
US

V. Phone/Fax

Practice location:
  • Phone: 216-448-6537
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP.0042650
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: