Provider Demographics
NPI:1558697268
Name:NEAL, AREDA MARIE (RN,BC,LSW)
Entity Type:Individual
Prefix:MRS
First Name:AREDA
Middle Name:MARIE
Last Name:NEAL
Suffix:
Gender:F
Credentials:RN,BC,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 CARLYON RD
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-4402
Mailing Address - Country:US
Mailing Address - Phone:216-721-0846
Mailing Address - Fax:
Practice Address - Street 1:1664 CARLYON RD
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-4402
Practice Address - Country:US
Practice Address - Phone:216-721-0846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 164971163WC1500X
OHRN. 164971163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0600XNursing Service ProvidersRegistered NurseGerontology