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

Mary Elizabeth Modic

Individual provider Clinical Nurse Specialist · NPI 1871115444

Mary Elizabeth Modic is a Clinical Nurse Specialist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

Office Of Advanced Practice - P-32 9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (216) 444-9005
Show map & directions

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

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence 147424 (OH)

Record details

NPI number1871115444
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2020
Last updated in NPPESDecember 12, 2023
Certification dateDecember 9, 2023

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