Doctor Name: | LISA ECHEVERRY |
NPI Number: | 1144221649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP07178 |
Business Practice Address: | 12000 Mccracken Rd Suite 550 Garfield Heights, OH - 441252964 |
Business Phone Number: | 2165812580 |
Business Fax Number: | 2166630666 |
Mailing Address: | 12000 Mccracken Rd, Suite 550 GARFIELD HTS |
State: | OH |
Postal Code: | 441252964 |
Phone Number: | 2165812580 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | NP07178 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |