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NPI Code Detail

MEDICARE: SHARDAE SEALS

MEDICARE:   SHARDAE  SEALS
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
1163W00000XRegistered NurseRN.441755OH

General Provider Information

NPI Number : 1952135816
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARDAE SEALS
Provider Business Mailing Address
First Line : 5241 WILSON MILLS RD STE 20
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-2150
Country : US
Telephone Number : 216-971-1155
Fax Number :
Provider Business Practice Location Address
First Line : 5241 WILSON MILLS RD STE 20
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-2150
Country : US
Telephone Number : 216-971-1155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2024
Last Update Date : 08/31/2024

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Directions to “ SHARDAE SEALS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.