Anna Fordham
Licensed Practical Nurse in Eastlake, OH. Individual provider (NPI-1).
NPI number1003772575
StatusActive
Last updated in NPPESAug 14, 2026
Details
- NPI
- 1003772575
- Entity type
- Individual (NPI-1)
- Name
- Anna Fordham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2025
- Certification date
- Aug 14, 2026
- Last updated
- Aug 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 188663 | OH | Yes |
| 251B00000X | Case Management | – | OH |
Practice location
739 E 349th StEastlake, OH 44095-2423
Phone 440-251-5175
Mailing address
739 E 349th StEastlake, OH 44095-2423
Phone 440-251-5175
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All 14 Licensed Practical Nurse providers in Eastlake · All 146 providers in Eastlake
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