Healthcare Provider Details

I. General information

NPI: 1144141136
Provider Name (Legal Business Name): BERNADETTE SHIRKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST
AKRON OH
44304-1437
US

IV. Provider business mailing address

102 BAR HARBOR BLVD
MEDINA OH
44256-7874
US

V. Phone/Fax

Practice location:
  • Phone: 330-376-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.0042846
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: