Individual provider · Type 1 NPI

Cynthia Elaine Derose, LPN

Licensed Practical Nurse · Willoughby, OH

NPI number 1801073341 Active

Practice location

5325 Harmony Ln
Willoughby, OH 44094-4307

Call (440) 975-9082 Map

Fax (440) 975-9082

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN070044 (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 1801073341

Cynthia Elaine Derose, LPN's National Provider Identifier is 1801073341, issued on Jan 28, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willoughby, OH. The record was last updated on Jan 28, 2008.