Healthcare Provider Details

I. General information

NPI: 1093628521
Provider Name (Legal Business Name): SHARON THERESE REESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 GRAFTON RD
BRUNSWICK OH
44212-1804
US

IV. Provider business mailing address

3650 GRAFTON RD
BRUNSWICK OH
44212-1804
US

V. Phone/Fax

Practice location:
  • Phone: 220-273-0485
  • Fax: 330-273-0511
Mailing address:
  • Phone: 220-273-0485
  • Fax: 330-273-0511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.266810
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: