MRS. MARY ELLEN LIEDER (NP) – Gerontology Nurse Practitioner, NPI 1215941349
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2018-10-18. Reason: License revocation, suspension, or surrender.
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. MARY ELLEN LIEDER (NP)
1693 MCCAUSLAND DR
HUDSON, OH 442365374
Phone: (330) 888-2020
Type: Mailing
300, East 185th Street, Cleveland, Cuyahoga County, Ohio, 44119, United States
CLEVELAND, OH 441191330
Phone: (216) 383-2222
Type: Location
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 44236)
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