Provider Demographics
NPI:1437347085
Name:NEWHOUSE, ELIZABETH (RN, BSN, CCTN, CLNC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:NEWHOUSE
Suffix:
Gender:F
Credentials:RN, BSN, CCTN, CLNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 MEADOW BROOKE WAY
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-4001
Mailing Address - Country:US
Mailing Address - Phone:330-468-1751
Mailing Address - Fax:
Practice Address - Street 1:2181 E AURORA RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1974
Practice Address - Country:US
Practice Address - Phone:330-486-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.260057163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse