MEDICARE: SHERICE DUDLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1851256440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERICE DUDLEY

Provider Business Mailing Address
First Line	:	5016 E 86TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-2000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5016 E 86TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-2000
Country	:	US
Telephone Number	:	216-972-3069
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “ SHERICE DUDLEY ” Practice Location

Language	Start Address	Practice Location

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