Provider Demographics
NPI:1255506085
Name:ADRIANO, ELIZABETH S (CNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:ADRIANO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:ROYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:14401 SNOW RD
Mailing Address - Street 2:STE 106
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-2583
Mailing Address - Country:US
Mailing Address - Phone:216-898-2229
Mailing Address - Fax:216-898-2217
Practice Address - Street 1:14401 SNOW RD
Practice Address - Street 2:STE 106
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2583
Practice Address - Country:US
Practice Address - Phone:216-898-2229
Practice Address - Fax:216-898-2217
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08220303100183Medicare Oscar/Certification