Most Relevant Information
Provider Data
| NPI Number: | 1003816869 |
| Provider Name: | ELIZABETH MUSOLF CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 05183 |
Most Important Dates
| Enumeration Date: | 07/22/2005 |
| Last Updated: | 10/17/2022 |
Provider Practice Location
22614 W STATE ROUTE 51
GENOA
OH
434301143
Practice Location Phone/Fax
| Phone: | 4198557772 |
| Fax: | 4198554800 |
Provider Mailing Location
PO BOX 378
SANDUSKY
OH
448710378
Provider Mailing Phone/Fax
| Phone: | 4196091112 |
| Fax: | 4196091123 |