Provider Demographics
NPI:1245521541
Name:BELSER, ANDREA R
Entity type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:R
Last Name:BELSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3769 GRIDLEY RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5036
Mailing Address - Country:US
Mailing Address - Phone:216-283-0603
Mailing Address - Fax:
Practice Address - Street 1:3769 GRIDLEY RD.
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5036
Practice Address - Country:US
Practice Address - Phone:216-283-0603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401026900110376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide