Provider Demographics
NPI:1720312580
Name:STUDER, ELIZABETH A (RN, MSN, CNS,IBCLC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:STUDER
Suffix:
Gender:F
Credentials:RN, MSN, CNS,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-3767
Mailing Address - Country:US
Mailing Address - Phone:330-837-0220
Mailing Address - Fax:
Practice Address - Street 1:2800 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-3767
Practice Address - Country:US
Practice Address - Phone:330-837-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-143768163WL0100X
OHNS-4416364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant