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NPI Code Detail

MEDICARE: BEATRICE A ETZEL CNS

MEDICARE: BEATRICE A ETZEL CNS
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
1364SA2200XAdult Health Clinical Nurse SpecialistNS-04845OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000362284OTHEROHANTHEM

General Provider Information

NPI Number : 1750436630
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRICE A ETZEL CNS
Provider Business Mailing Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-5965
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-5965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 02/22/2026

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Directions to “ BEATRICE A ETZEL CNS” Practice Location

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