Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bretzyl M Liscoe

Individual provider Acute Care Nurse Practitioner · NPI 1003434952

Bretzyl M Liscoe is a Nurse Practitioner in Elyria, Ohio. Qualified in 2020, 6 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
Specialties on file
2

Practice location Address checks out

630 E River St
Elyria, OH 44035-5902
Phone: (440) 323-8515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence APRN.CNP.0027013 (OH)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN.CNP.0027013 (OH)

Record details

NPI number1003434952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing address17703 Hicks Rd, Bedford, OH 44146-4332

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elyria