Individual provider · Type 1 NPI

Susan Lacey Antonelli, NP-C

Gerontology Nurse Practitioner · Cleveland, OH

NPI number 1477033918 Active

Practice location

17876 Saint Clair Ave
Cleveland, OH 44110-2602

Fax (216) 298-0241

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN.CNP.023456 (OH)

Gerontology Nurse Practitioner: Definition to come...

52 other providers at this address

Other gerontology nurse practitioner providers in Cleveland

See all in Cleveland →

About NPI 1477033918

Susan Lacey Antonelli, NP-C's National Provider Identifier is 1477033918, issued on Aug 15, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cleveland, OH. The record was last updated on Jun 20, 2019.