Malibiran, Liezl

Malibiran, Liezl is an individual health care provider with primary practice located at 8386 Raleigh Pl , Concord Twp OH 44077-8546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Malibiran, Liezl can be contacted via phone (440) 709-6028.

Contact Information

Primary practice address
8386 Raleigh Pl Concord Twp OH 44077-8546
Fax: (440) 709-6303
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP09561 Ohio

Profile Details

NPI number 1093996019
LBN Legal business name Malibiran, Liezl
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Apr 24th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093996019 NPPES
Ohio MEDICAID 0099265

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