Provider Demographics
NPI:1285279901
Name:BIKIS, GRACE ELIZABETH (BSN, MSN, APRN)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:ELIZABETH
Last Name:BIKIS
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Gender:
Credentials:BSN, MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1000 S CLEVELAND MASSILLON RD
Mailing Address - Street 2:SUITE 01
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44333-9204
Mailing Address - Country:US
Mailing Address - Phone:330-754-4844
Mailing Address - Fax:833-974-2062
Practice Address - Street 1:1000 S CLEVELAND MASSILLON RD
Practice Address - Street 2:STE. 01
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4433
Practice Address - Country:US
Practice Address - Phone:330-754-4844
Practice Address - Fax:833-974-2062
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025685363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0382006Medicaid
OHAPRN.CNP.025685OtherOHIO ELICENSE OHIO PROFESSIONAL LICENSURE