IndividualActive
Bette Idemoto, PHD RN CCRN CS
NPI 1285714592 · Critical Care Medicine Clinical Nurse Specialist · Cleveland, OH
Provider details
- NPI number
- 1285714592
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHD RN CCRN CS
- Sex
- Female
- Sole proprietor
- No
- License
- RN.105167 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11100 Euclid Ave
Mailstop Wearn 5057
Cleveland, OH 44106-1716
Phone: (216) 844-2202
Fax: (216) 844-3850
Approximate (ZIP-level) locationGet directions
Mailing address
239 Race St
Berea, OH 44017-2320
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.