Beverly Ann Croyle, LPN, WCC
Nursing Care in Eastlake, OH. Individual provider (NPI-1).
NPI number1114409554
StatusActive
Last updated in NPPESSep 1, 2018
Details
- NPI
- 1114409554
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Beverly Ann Croyle
- Credential
- LPN, WCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2018
- Last updated
- Sep 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | 148191.MEDD-IV | OH | Yes |
Other names
- Beverly Ann Smiddy (Other Name)
Practice location
145 Christine Ct.Eastlake, OH 44095
Phone 440-487-6485
Mailing address
145 Christine Ct.Eastlake, OH 44095
Phone 440-487-6485
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