MEDICARE: ELIZABETH S ADRIANO CNP

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	363LF0000X	Family Nurse Practitioner	10042	OH

General Provider Information

NPI Number	:	1255506085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH S ADRIANO CNP

Provider Business Mailing Address
First Line	:	14401 SNOW RD
Second Line	:	STE 106
City	:	BROOKPARK
State	:	OH
Zip	:	44142-2583
Country	:	US
Telephone Number	:	216-898-2229
Fax Number	:	216-898-2217

Provider Business Practice Location Address
First Line	:	14401 SNOW RD
Second Line	:	STE 106
City	:	BROOKPARK
State	:	OH
Zip	:	44142-2583
Country	:	US
Telephone Number	:	216-898-2229
Fax Number	:	216-898-2217

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

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	10/15/2015

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