Individual provider · Type 1 NPI

Anna Fordham

Licensed Practical Nurse · Eastlake, OH

NPI number 1003772575 Active

Practice location

739 E 349th St
Eastlake, OH 44095-2423

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X188663 (OH)
Case Management Agency 251B00000XNone listed

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003772575

Anna Fordham's National Provider Identifier is 1003772575, issued on Dec 29, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eastlake, OH. The record was last updated on Aug 14, 2026.