Individual provider · Type 1 NPI

Merlyn Goodrum

Licensed Practical Nurse · Maple Heights, OH

NPI number 1285561597 Active

Practice location

21100 Southgate Park Blvd
Maple Heights, OH 44137-3004

Call (440) 578-8200 Map

Mailing address

7232 Justin Way
Mentor, OH 44060-4881

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.129969.MEDS (OH)

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 1285561597

Merlyn Goodrum's National Provider Identifier is 1285561597, issued on May 8, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maple Heights, OH. The record was last updated on May 8, 2026.