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

Susan Lacey Antonelli, NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1477033918

Susan Lacey Antonelli, NP-C is a Gerontology Nurse Practitioner in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

17876 Saint Clair Ave
Cleveland, OH 44110-2602
Phone: (216) 383-2222
Fax: (216) 298-0241
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.023456 (OH)

Record details

NPI number1477033918
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESJune 20, 2019

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