Doctor Name: | ELIZABETH MUSOLF |
NPI Number: | 1003816869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 05183 |
Business Practice Address: | 1037 Conneaut Ave Suite 203 Bowling Green, OH - 434025301 |
Business Phone Number: | 4193543295 |
Business Fax Number: | 4193543297 |
Mailing Address: | 745 Haskins Rd, Suite B BOWLING GREEN |
State: | OH |
Postal Code: | 434021637 |
Phone Number: | 4193537069 |
Fax Number: | 4193537076 |
NPI Enumeration Date: | 07/22/2005 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 05183 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |